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Organization

GLYNDA R. MCCONVILLE, DDS, PA

Active
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Organization

GLYNDA R. MCCONVILLE, DDS, PA

Active
Other names
Sandhills Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLYNDA MCCONVILLE D.D.S. (OWNER/PRESIDENT)
(919) 718-9188
Entity
Organization

Contact information

Practice address
1129 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 718-9188
(919) 718-0900
Mailing address
1129 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 718-9188
(919) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7021
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083707475
INDIVIDUAL NPI NUMBER
NC
05
—
5901535
—
NC
Enumeration date
08/20/2008
Last updated
08/20/2008
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