Drs. Englehardt & Vande Berg, DDS, PA
Dentist, Oral and Maxillofacial Surgery in Cary, NC. Organization (NPI-2).
NPI number1891898060
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1891898060
- Entity type
- Organization (NPI-2)
- Legal business name
- Drs. Englehardt & Vande Berg, DDS, PA
- Organization subpart
- No
- Enumeration date
- Sep 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | NC | Yes |
Other names
- Drs. Englehardt & Vande Berg, DDS, PA (Doing Business As)
Practice location
1010 High House RdSuite 100
Cary, NC 27513-3576
Phone 919-461-0110 · Fax 919-461-0114
Mailing address
1010 High House RdSuite 100
Cary, NC 27513-3576
Phone 919-461-0110 · Fax 919-461-0114
Authorized official
Karla W. Grantham
Office Manager
9194610110
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