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Organization
BALES & SIMPSON,D.D.S., P.A.
Active
Organization
BALES & SIMPSON,D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY K BALES D.D.S. (PRESIDENT)
(919) 934-3409
Entity
Organization
Contact information
Practice address
101 E MARKET ST, SUITE 2A, SMITHFIELD, NC 27577-3915
(919) 934-3409
(919) 934-2128
Mailing address
PO BOX 635, SMITHFIELD, NC 27577-0635
(919) 934-3409
(919) 934-2128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8990379
MEDICAID
NC
01
—
90379
BCBSNC
NC
Enumeration date
04/12/2007
Last updated
08/22/2020
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