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Organization
SHARON J COBHAM DDS NICOLE LECANN DDS & ASSOC PA
Active
Organization
SHARON J COBHAM DDS NICOLE LECANN DDS & ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LECANN DDS (OWNER)
(919) 789-8682
Entity
Organization
Contact information
Practice address
1001 W WILLIAMS ST SUITE 101, APEX MEDICAL PARK, APEX, NC 27502
(919) 303-2887
(919) 363-3933
Mailing address
4814 SIX FORKS ROAD, SUITE 102 ATTN DR LECANN, RALEIGH, NC 27609
(919) 783-5550
(919) 791-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6970
—
1223G0001X
General Practice Dentistry
Primary
7000
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016H9
NCHC
NC
05
—
89016H9
—
NC
Enumeration date
12/12/2006
Last updated
04/29/2008
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