Organization
ARTHUR & NICHOLSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY B OVERTON (ADMINISTRATOR)
(252) 537-1054
Entity
Organization
Contact information
Practice address
551 BECKER DR, ROANOKE RAPIDS, NC 27870-3303
(252) 537-1054
(252) 537-1211
Mailing address
551 BECKER DRIVE, ROANOKE RAPIDS, NC 27870-3303
(252) 537-1054
(252) 537-1211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017CH
NCBCBS GROUP PROV. NO.
NC
01
—
240107
VABCBS GROUP PROV. NO.
VA
05
—
8993995
—
NC
Enumeration date
07/18/2006
Last updated
03/01/2018
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