Individual
JACOB KEITH BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 PLAZA BLVD, KINSTON, NC 28501-2143
(252) 371-0117
Mailing address
2004 CHARITY LN, WINTERVILLE, NC 28590-7972
(252) 676-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12843
NC
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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