Individual
SHAWANA NEOPI PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 PHILLIPS AVE STE 101, HIGH POINT, NC 27262-7293
(336) 812-3104
(336) 812-3105
Mailing address
2705 CROQUET CIR, HIGH POINT, NC 27262-5017
(202) 607-1535
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13720
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9248
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1000495
DC
Other
Enumeration date
06/30/2008
Last updated
04/10/2012
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