# JOEY D PESICEK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** kinston dental associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164697108
- **Authorized official:** DR. JOEY D PESICK DDS (OWNER)
- **Authorized official phone:** (252) 523-4151

## Contact information

- **Practice address:** 1104 W VERNON AVE, KINSTON, NC 28501-3616
- **Practice address phone:** (252) 523-4151
- **Practice address fax:** (252) 527-0738
- **Mailing address:** 1104 W VERNON AVE, KINSTON, NC 28501-3616
- **Mailing address phone:** (252) 523-4151
- **Mailing address fax:** (252) 527-0738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7647 | NC | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 902V7 | BLUE CROSS AND BLUE SHIELD | NC |