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Cody Phen, DMD
Student in an Organized Health Care Education/Training Program in Ahoskie, North Carolina
NPI 1063100691

Cody Phen is a Student in an Organized Health Care Education/Training Program based in Ahoskie, NC. Cody Phen practices in Ahoskie, NC and has the professional credentials of DMD. The NPI Number for Cody Phen is 1063100691 and holds a License No. (North Carolina).

The current practice location address for Cody Phen is 904 Colony Ave N, Ahoskie, NC and can be reached out via phone at 919-225-7232.

Location: 904 Colony Ave N, Ahoskie, NC, 27910-8161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063100691
Provider Name
Cody Phen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
904 Colony Ave N, Ahoskie, NC, 27910-8161
Phone Number
919-225-7232
Fax Number
Provider Enumeration Date
05/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
904 Colony Ave N
City
Ahoskie
State
North Carolina
Zip
27910-2108
Phone Number
919-225-7232
Fax Number
person
Provider Business Mailing Address Details
Address
904 Colony Ave N
City
Ahoskie
State
North Carolina
Zip
27910-2108
Phone Number
919-225-7232
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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