Organization
RICHARD L. DAILEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JOHNSON (CDA)
(336) 513-0576
Entity
Organization
Contact information
Practice address
807 HERMITAGE RD, BURLINGTON, NC 27215-3513
(336) 513-0576
(336) 513-0578
Mailing address
807 HERMITAGE RD, BURLINGTON, NC 27215-3513
(336) 513-0576
(336) 513-0578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991984
—
NC
Enumeration date
05/15/2007
Last updated
08/22/2020
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