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Dr. Kerry P Cogburn, DDSPA
General Practice Dentistry in Clyde, North Carolina
NPI 1063441616

Kerry P Cogburn is a General Practice Dentistry based in Clyde, NC and is specialized in General Practice. Kerry P Cogburn practices in Clyde, NC and has the professional credentials of DDSPA. The NPI Number for Kerry P Cogburn is 1063441616 and holds a License No. 3906 (North Carolina).

The current practice location address for Kerry P Cogburn is 418 Jones Cove Rd, Clyde, NC and can be reached out via phone at 828-627-9285 and via fax at 828-627-9287.

Location: 418 Jones Cove Rd, Clyde, NC, 28721-8537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063441616
Provider Name
Kerry P Cogburn
Credential
DDSPA
Provider Entity Type
Individual
Gender
Male
Address
418 Jones Cove Rd, Clyde, NC, 28721-8537
Phone Number
828-627-9285
Fax Number
828-627-9287
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8991701 05 NC
institution
Provider Business Practice Location Address Details
Address
418 Jones Cove Rd
City
Clyde
State
North Carolina
Zip
28721-9458
Phone Number
828-627-9285
Fax Number
828-627-9287
person
Provider Business Mailing Address Details
Address
418 Jones Cove Rd
City
Clyde
State
North Carolina
Zip
28721-9458
Phone Number
828-627-9285
Fax Number
828-627-9287
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3906 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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