Organization
COURTNEY MITCHELL, III DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY MITCHELL III DDS (DENTIST)
(252) 522-4313
Entity
Organization
Contact information
Practice address
2500 N. HERRITAGE ST., SUITE A, KINSTEN, NC 28501
(252) 522-4313
(252) 522-5777
Mailing address
2500 N HERRITAGE ST., SUITE A, KINSTEN, NC 28501
(252) 522-4313
(252) 522-5777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995998
—
NC
Enumeration date
07/10/2013
Last updated
07/10/2013
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