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Organization
SHARON J COBHAM DDS & NICOLE LECANN DDS PA
Active
Organization
SHARON J COBHAM DDS & NICOLE LECANN DDS 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
2728 ANNE ELIZABETH DR, BURLINGTON, NC 27215
(336) 586-1919
(336) 586-1990
Mailing address
4814 SIX FORKS RD, SUITE 102, RALEIGH, NC 27609
(919) 783-5550
(919) 791-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6970
NC
1223G0001X
General Practice Dentistry
7000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04775
NCHC
NC
05
—
5904775
—
NC
Enumeration date
12/13/2006
Last updated
04/23/2008
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