# KENNETH R. TRIPP. JR. DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891840534
- **Authorized official:** DR. KENNETH RAY TRIPP JR. DDS (PRESIDENT)
- **Authorized official phone:** (919) 556-5566

## Contact information

- **Practice address:** 1906 S MAIN ST, SUITE 218, WAKE FOREST, NC 27587-5032
- **Practice address phone:** (919) 556-5566
- **Practice address fax:** (919) 562-5537
- **Mailing address:** 1906 S MAIN ST, SUITE 218, WAKE FOREST, NC 27587-5032
- **Mailing address phone:** (919) 556-5566
- **Mailing address fax:** (919) 562-5537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6308 | NC | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020