Individual
DR. RICARDO JOSE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3040 MANNING DRIVE OLD DENTAL BUILDING, CB 7450, CHAPEL HILL, NC 27599-7450
(919) 966-2751
(919) 843-6508
Mailing address
UNC ADAMS SCHOOL OF DENTISTRY CB #7450, CHAPEL HILL, NC 27599-0001
(919) 537-3152
(919) 843-6508
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12533
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901529
—
NC
05
—
89902EG
—
NC
01
—
902EG
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
06/26/2006
Last updated
04/14/2022
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