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Dr. Jackie Maurice Mullen, DDSPA
General Practice Dentistry in Rocky Mount, North Carolina
NPI 1902975303

Jackie Maurice Mullen is a General Practice Dentistry based in Rocky Mount, NC and is specialized in General Practice. Jackie Maurice Mullen practices in Rocky Mount, NC and has the professional credentials of DDSPA. The NPI Number for Jackie Maurice Mullen is 1902975303 and holds a License No. 3486 (North Carolina).

The current practice location address for Jackie Maurice Mullen is 901 N Winstead Ave, Rocky Mount, NC and can be reached out via phone at 252-443-7575 and via fax at 252-443-0858. You can also correspond with Jackie Maurice Mullen through the mailing address at 901 N WINSTEAD AVE, ROCKY MOUNT, NC - 27804-8467 (mailing address contact number: 252-443-7575).

Location: 901 N Winstead Ave, Rocky Mount, NC, 27804-8467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902975303
Provider Name
Jackie Maurice Mullen
Credential
DDSPA
Provider Entity Type
Individual
Gender
Male
Address
901 N Winstead Ave, Rocky Mount, NC, 27804-8467
Phone Number
252-443-7575
Fax Number
252-443-0858
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8996276 05 NC
institution
Provider Business Practice Location Address Details
Address
901 N Winstead Ave
City
Rocky Mount
State
North Carolina
Zip
27804-8467
Phone Number
252-443-7575
Fax Number
252-443-0858
person
Provider Business Mailing Address Details
Address
901 N Winstead Ave
City
Rocky Mount
State
North Carolina
Zip
27804-8467
Phone Number
252-443-7575
Fax Number
252-443-0858
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3486 (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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