C Douglas Peedin Jr Dds | |
110 Professional Dr Roanoke Rapids NC 27870 | |
(252) 537-0438 | |
(252) 537-0438 |
Full Name | C Douglas Peedin Jr Dds |
---|---|
Speciality | Dentist |
Location | 110 Professional Dr, Roanoke Rapids, North Carolina |
Authorized Official Name and Position | Clyde Douglas Peedin (OWNER) |
Authorized Official Contact | 2525370438 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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C Douglas Peedin Jr Dds 110 Professional Dr Roanoke Rapids NC 27870 Ph: (252) 537-0438 | C Douglas Peedin Jr Dds 110 Professional Dr Roanoke Rapids NC 27870 Ph: (252) 537-0438 |
NPI Number | 1992977557 |
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Provider Enumeration Date | 03/24/2008 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992977557 | NPI | - | NPPES |
8996771 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4676 (North Carolina) | Primary |
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