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Organization
JOHN A OVERTON II DDS PA
Active
Organization
JOHN A OVERTON II DDS PA
Active
Other names
Mayfaire Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDERSON OVERTON DDS (PRESIDENT)
(910) 619-1962
Entity
Organization
Contact information
Practice address
710 MILITARY CUTOFF RD STE 100, WILMINGTON, NC 28405-2379
(910) 541-4040
Mailing address
710 MILITARY CUTOFF RD STE 100, WILMINGTON, NC 28405-2379
(910) 541-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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