institution
Samuel G. Koonce, Jr., Dds, Pa
Dental Clinic/Center in Whiteville, North Carolina
NPI 1689842163

Samuel G. Koonce, Jr., Dds, Pa is a Dental Clinic/Center based in Whiteville, NC and is specialized in Dental. Samuel G. Koonce, Jr., Dds, Pa practices in Whiteville, NC. The NPI Number for Samuel G. Koonce, Jr., Dds, Pa is 1689842163 and holds a License No. 4365 (North Carolina).

The current practice location address for Samuel G. Koonce, Jr., Dds, Pa is 900 Spivey Rd, Whiteville, NC and can be reached out via phone at 910-642-4529.

Location: 900 Spivey Rd, Whiteville, NC, 28472-2915
institution
Provider Profile Details
NPI Number
1689842163
Provider Name
Samuel G. Koonce, Jr., Dds, Pa
Credential
Provider Entity Type
Organization
Address
900 Spivey Rd, Whiteville, NC, 28472-2915
Phone Number
910-642-4529
Fax Number
Provider Enumeration Date
02/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8995053 05 NC
institution
Provider Business Practice Location Address Details
Address
900 Spivey Rd
City
State
Zip
28472-2915
Phone Number
910-642-4529
Fax Number
person
Provider Business Mailing Address Details
Address
900 Spivey Rd
City
State
Zip
28472-2915
Phone Number
910-642-4529
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
4365 (North Carolina)
Definition
Definition to come...
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