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Dr. Adam David Lietzan, PhD, DMD, MS

Dentist, Periodontics in Chapel Hill, NC. Individual provider (NPI-1).

NPI number1982125837
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1982125837
Entity type
Individual (NPI-1)
Name
Dr. Adam David Lietzan
Credential
PhD, DMD, MS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 30, 2017
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics10709NCYes
1223G0001X Dentist, General Practice10709NC

Practice location

111 Brauer Hall
Unc At Chapel Hill School Of Dentistry - Dept Of Perio
Chapel Hill, NC 27599-7450

Phone 302-381-5158

Mailing address

1424 Southpoint Trl
Durham, NC 27713-6757

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