# REEBYE PARK & RICHMAN DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Triangle Implant Center Goldsboro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376963439
- **Authorized official:** ANDRES F HENAO (TECHNICAL DIRECTOR)
- **Authorized official phone:** (919) 563-2897

## Contact information

- **Practice address:** 2300 WAYNE MEMORIAL DR, SUITE G, GOLDSBORO, NC 27534
- **Practice address phone:** (919) 581-9770
- **Mailing address:** 2300 WAYNE MEMORIAL DR, SUITE G, GOLDSBORO, NC 27534-1726
- **Mailing address phone:** (919) 581-9770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 09/19/2023