# REEBYE PARK & RICHMAN DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REEBYE PARK & RICHMAN DDS PLC
- **Other names:** Triangle Implant Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508158940
- **Legal business name:** REEBYE PARK & RICHMAN DDS PLC
- **Authorized official:** ANDRES F HENAO (TECHNICAL DIRECTOR)
- **Authorized official phone:** (919) 563-2897

## Contact information

- **Practice address:** 1107 S FIFTH ST, SUITE 250, MEBANE, NC 27302-9597
- **Practice address phone:** (919) 237-9400
- **Mailing address:** 1107 S FIFTH ST STE 250, MEBANE, NC 27302-9896
- **Mailing address phone:** (919) 563-2897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7381 | NC | Yes |
| 125Q00000X | Oral Medicine Dentistry | — | NULL | — |
| 125Q00000X | Oral Medicine Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 10/12/2023