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Organization
S. ROSS PENLAND, DMD, PA-MORGANTON, P.L.L.C
Active
Organization
S. ROSS PENLAND, DMD, PA-MORGANTON, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ROSS PENLAND DMD (PEDIATRIC DENTIST)
(828) 855-3779
Entity
Organization
Contact information
Practice address
110 JUNIPER ST, SUITE 200, MORGANTON, NC 28655-4676
(828) 855-3779
(828) 855-3781
Mailing address
110 JUNIPER ST, SUITE 200, MORGANTON, NC 28655-4676
(828) 855-3779
(828) 855-3781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386871697
INDIVIDUAL NPI
NC
Enumeration date
04/04/2017
Last updated
04/18/2017
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