Individual
DR. GLYNDA MCCONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1129 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 718-9188
(919) 718-0900
Mailing address
1129 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 718-9188
(919) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901535
—
NC
Enumeration date
09/30/2006
Last updated
07/08/2007
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