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Organization
TERESA G. CONLEY, DDS, PA
Active
Organization
TERESA G. CONLEY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA G. CONLEY D.D.S., PA (OWNER)
(910) 326-2030
Entity
Organization
Contact information
Practice address
1306 W CORBETT AVE, SWANSBORO, NC 28584-8464
(910) 326-2030
(910) 326-3192
Mailing address
1306 WEST CORBETT AVE, SWANSBORO, NC 28584-8464
(910) 326-2030
(910) 326-3192
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
Primary
6660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-90048
—
NC
05
—
8990048
—
NC
01
—
90048
BCBS
NC
01
—
969107
UNITED CONCORDIA
—
Enumeration date
06/26/2007
Last updated
01/03/2011
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