Gerald W. Upton, Dds, Ms, Phd, Pa | |
8300 Health Park Suite 215 Raleigh NC 27615-4730 | |
(919) 847-1050 | |
(919) 847-1060 |
Full Name | Gerald W. Upton, Dds, Ms, Phd, Pa |
---|---|
Speciality | Dentist |
Location | 8300 Health Park, Raleigh, North Carolina |
Authorized Official Name and Position | Sharon Tuarner Ray (OFFICE MANAGER) |
Authorized Official Contact | 9198471050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gerald W. Upton, Dds, Ms, Phd, Pa 8300 Health Park Suite 215 Raleigh NC 27615-4730 Ph: (919) 847-1050 | Gerald W. Upton, Dds, Ms, Phd, Pa 8300 Health Park Suite 215 Raleigh NC 27615-4730 Ph: (919) 847-1050 |
NPI Number | 1982870713 |
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Provider Enumeration Date | 05/01/2008 |
Last Update Date | 05/01/2008 |
Medicare PECOS PAC ID | 6406926161 |
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Medicare Enrollment ID | O20080606000395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982870713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 4964 (North Carolina) | Primary |
Provider Name | Gerald W Upton |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1326105966 PECOS PAC ID: 3870663537 Enrollment ID: I20080606000382 |
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