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Organization
STACEY L. NORRIS, D.M.D., P.A.
Active
Organization
STACEY L. NORRIS, D.M.D., P.A.
Active
Other names
Main Street Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY L. NORRIS D.M.D. (OWNER)
(704) 889-7525
Entity
Organization
Contact information
Practice address
526 MAIN STREET, PINEVILLE, NC 28134
(704) 889-7525
(704) 889-7528
Mailing address
PO BOX 686, PINEVILLE, NC 28134-0686
(704) 889-7525
(704) 889-7528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8648
NC
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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