Individual
DR. KEVIN COMER UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 S BROOKS ST, WAKE FOREST, NC 27587
(919) 556-2996
(919) 556-6295
Mailing address
101 S BROOKS ST, WAKE FOREST, NC 27587
(919) 556-2996
(919) 556-6295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5340
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998756
—
NC
Enumeration date
05/14/2007
Last updated
07/08/2007
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