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Organization
JOEY D PESICEK
Active
Organization
JOEY D PESICEK
Active
Other names
kinston dental associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEY D PESICK DDS (OWNER)
(252) 523-4151
Entity
Organization
Contact information
Practice address
1104 W VERNON AVE, KINSTON, NC 28501-3616
(252) 523-4151
(252) 527-0738
Mailing address
1104 W VERNON AVE, KINSTON, NC 28501-3616
(252) 523-4151
(252) 527-0738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902V7
BLUE CROSS AND BLUE SHIELD
NC
Enumeration date
04/29/2008
Last updated
04/29/2008
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