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Organization
DRS PEARSON JEFFERSON AND CAMP PA
Active
Organization
DRS PEARSON JEFFERSON AND CAMP PA
Active
Other names
Raleigh Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A JEFFERSON DDS (TREASURER)
(919) 876-4746
Entity
Organization
Contact information
Practice address
8301 BANDFORD WAY, SUITE 121, RALEIGH, NC 27615-2767
(919) 876-4746
(919) 876-5071
Mailing address
8301 BANDFORD WAY, SUITE 121, RALEIGH, NC 27615-2767
(919) 876-4746
(919) 876-5071
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/15/2007
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