| Bryden Mccormick Dds | |
|
231 N Judd Pkwy Ne Suite 101 Fuquay Varina NC 27526-2385 | |
| (919) 887-5030 | |
| (919) 887-5022 |
| Full Name | Bryden Mccormick Dds |
|---|---|
| Speciality | Dentist |
| Location | 231 N Judd Pkwy Ne, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Bryden S Mccormick (OWNER) |
| Authorized Official Contact | 9198875030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryden Mccormick Dds 231 N Judd Pkwy Ne Suite 101 Fuquay Varina NC 27526-2385 Ph: (919) 887-5030 | Bryden Mccormick Dds 231 N Judd Pkwy Ne Suite 101 Fuquay Varina NC 27526-2385 Ph: (919) 887-5030 |
| NPI Number | 1841535788 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841535788 | NPI | - | NPPES |
| 5910287 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8580 (North Carolina) | Primary |
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