# KIRK A. TURNER, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clemmons Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093867962
- **Authorized official:** DR. KIRK ALAN TURNER DDS (OWNER)
- **Authorized official phone:** (336) 766-9111

## Contact information

- **Practice address:** 6301 STADIUM DR, CLEMMONS, NC 27012-8766
- **Practice address phone:** (336) 766-9111
- **Practice address fax:** (336) 766-3941
- **Mailing address:** PO BOX 706, 6301 STADIUM DRIVE, CLEMMONS, NC 27012-0706
- **Mailing address phone:** (336) 766-9111
- **Mailing address fax:** (336) 766-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6639 | NC | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 04/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8998649 | — | NC |