Organization
DR. JASON GRAVES AND ASSOCIATES PA
Active
Other names
Dentistry of the Pines, D
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS REYNOLDS (OFFICE MANAGER)
(910) 684-3687
Entity
Organization
Contact information
Practice address
100 PAVILION WAY STE G, SOUTHERN PINES, NC 28387-4560
(910) 684-3687
(910) 401-1918
Mailing address
100 PAVILION WAY STE G, SOUTHERN PINES, NC 28387-4560
(910) 684-3687
(910) 401-1918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9127
NORTH CAROLINA DENTAL BOARD
NC
Enumeration date
06/18/2020
Last updated
06/18/2020
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