Organization
DENTAL FACULTY PRACTICE
Active
Other names
UNC School of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH LEONARD DDS (DIRECTOR, DENTAL FACULTY PRACTICE)
(919) 537-3940
Entity
Organization
Contact information
Practice address
101 BRAUER HALL CB 7450, CHAPEL HILL, NC 27599-0001
(919) 537-3940
(919) 537-3683
Mailing address
101 BRAUER HALL CB 7450, CHAPEL HILL, NC 27599-0001
(919) 537-3940
(919) 537-3683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01835
BCBS
NC
05
—
8901835
—
NC
Enumeration date
06/25/2006
Last updated
10/03/2014
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