# LECROY GRAHAM & MCKINNEYDDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LeCroy Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780447490
- **Authorized official:** YI SHULL (PRACTICE MANAGER)
- **Authorized official phone:** (704) 917-9218

## Contact information

- **Practice address:** 123 LITTLE SPRING RD, BLOWING ROCK, NC 28605-8114
- **Practice address phone:** (828) 295-9603
- **Practice address fax:** (828) 295-9615
- **Mailing address:** PO BOX 1083, BLOWING ROCK, NC 28605-1083
- **Mailing address phone:** (828) 295-9603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 04/23/2024