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Organization
SIDNEY W. SOCKWELL,DDS, PA
Active
Organization
SIDNEY W. SOCKWELL,DDS, PA
Active
Other names
Drs. Marcella & Sid Sockwell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY WM. SOCKWELL DDS (OWNER)
(919) 693-8922
Entity
Organization
Contact information
Practice address
111 E INDUSTRY DR, OXFORD, NC 27565-3559
(919) 693-8922
Mailing address
PO BOX 1142, 111 EAST INDUSTRY DRIVE, OXFORD, NC 27565-1142
(919) 693-8922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156887
UNITED CONCORDIA PROVIDER
NC
01
—
5799
LICENSE NUMBER
NC
01
—
5850
LICENSE NUMBER
NC
01
—
91694
BCBS PROVIDER ID NUMBER
NC
01
—
97978
BCBS PROVIDER ID NUMBER
NC
Enumeration date
05/08/2007
Last updated
11/26/2013
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