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Dr. Kenaysha Eshonji Gaddy, DDS
Pediatric Dentist in Garner, North Carolina
NPI 1922116565

Kenaysha Eshonji Gaddy is a Pediatric Dentist based in Garner, NC and is specialized in Pediatric Dentistry. Kenaysha Eshonji Gaddy practices in Garner, NC and has the professional credentials of DDS. The NPI Number for Kenaysha Eshonji Gaddy is 1922116565 and holds a License No. 7850 (North Carolina).

The current practice location address for Kenaysha Eshonji Gaddy is 5638 Nc Highway 42 W Ste 109, Garner, NC and can be reached out via phone at 919-772-1463.

Location: 5638 Nc Highway 42 W Ste 109, Garner, NC, 27529-7998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922116565
Provider Name
Kenaysha Eshonji Gaddy
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5638 Nc Highway 42 W Ste 109, Garner, NC, 27529-7998
Phone Number
919-772-1463
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89-045YU 05 NC
9026U 01 BLUE CROSS BLUE SHIELD NC
institution
Provider Business Practice Location Address Details
Address
5638 Nc Highway 42 W Ste 109
City
Garner
State
North Carolina
Zip
27529-7998
Phone Number
919-772-1463
Fax Number
person
Provider Business Mailing Address Details
Address
5638 Nc Highway 42 W Ste 109
City
Garner
State
North Carolina
Zip
27529-7998
Phone Number
919-772-1463
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7850 (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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7850 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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