Justin M Degarmo Dmd & Ann Hamill Greene DDS PA
Dentist in Elizabethtown, NC. Organization (NPI-2).
NPI number1982124681
StatusActive
Last updated in NPPESJun 23, 2017
Details
- NPI
- 1982124681
- Entity type
- Organization (NPI-2)
- Legal business name
- Justin M Degarmo Dmd & Ann Hamill Greene DDS PA
- Organization subpart
- No
- Enumeration date
- Jun 23, 2017
- Last updated
- Jun 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 10668 | NC | Yes |
| 122300000X | Dentist | 9298 | NC |
Practice location
401 Doctors DriveElizabethtown, NC 28337
Phone 910-862-2892 · Fax 910-862-6345
Mailing address
Po Box 9Elizabethtown, NC 28337-0009
Phone 864-918-5151
Authorized official
Justin Degarmo
President
8649185151
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