# JACQUELINE SONCEAU PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACQUELINE SONCEAU PLLC
- **Other names:** Great Smiles 4 You
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841965738
- **Legal business name:** JACQUELINE SONCEAU PLLC
- **Authorized official:** TIFFANY E HIGHTOWER (OFFICE MANAGER)
- **Authorized official phone:** (336) 226-2525

## Contact information

- **Practice address:** 1610 VAUGHN RD STE J, BURLINGTON, NC 27217-2919
- **Practice address phone:** (336) 226-2525
- **Practice address fax:** (336) 226-0744
- **Mailing address:** 1610 VAUGHN RD STE J, BURLINGTON, NC 27217-2919
- **Mailing address phone:** (336) 226-2525
- **Mailing address fax:** (336) 226-0744

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 12/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5900643 | — | NC |