| Edward P. Jessup, Dds, Msco, Pa | |
|
4300 Ludgate Street Lumberton NC 28358 | |
| (910) 738-4465 | |
| Not Available |
| Full Name | Edward P. Jessup, Dds, Msco, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4300 Ludgate Street, Lumberton, North Carolina |
| Authorized Official Name and Position | Edward Patton Jessup (OWNER) |
| Authorized Official Contact | 9107384465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P. Jessup, Dds, Msco, Pa 4300 Ludgate Street Lumberton NC 28358 Ph: (910) 738-4465 | Edward P. Jessup, Dds, Msco, Pa 4300 Ludgate Street Lumberton NC 28358 Ph: (910) 738-4465 |
| NPI Number | 1417179581 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417179581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3568 (North Carolina) | Primary |
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