Organization
GRADUATE ORTHODONTICS CLINIC
Active
Parent organization
UNC STUDENT DENTAL CLINICS
Other names
UNC School of Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNC STUDENT DENTAL CLINICS
Authorized official
FAITH PATTERSON (MANAGER, ORTHODONTICS)
(919) 966-2769
Entity
Organization
Contact information
Practice address
CB 7450 OLD DENTAL BLDG, CHAPEL HILL, NC 27599-0001
(919) 966-2769
Mailing address
CB 7450 OLD DENTAL BLDG, CHAPEL HILL, NC 27599-0001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890181U
—
NC
Enumeration date
06/19/2007
Last updated
06/18/2008
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