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Organization
JOEL A. GENTRY, DDS, PLLC
Active
Organization
JOEL A. GENTRY, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL A GENTRY DDS (DENTIST)
(336) 886-4933
Entity
Organization
Contact information
Practice address
212 W LEXINGTON AVE, SUITE 102, HIGH POINT, NC 27262-2534
(336) 886-4933
(336) 886-4485
Mailing address
212 W LEXINGTON AVE, SUITE 102, HIGH POINT, NC 27262-2534
(336) 886-4933
(336) 886-4485
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549026
UNITED CONCORDIA
—
01
—
6689340001
MEDICARE PTAN
NC
01
—
81044434
BCBS- ALA
AL
05
—
8993142
—
NC
01
—
93142
BCBS NC
NC
Enumeration date
01/29/2008
Last updated
08/29/2012
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