Individual
DR. DAVID R J PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3801 INDIANA AVE, WINSTON SALEM, NC 27105-3408
(336) 744-1300
(336) 744-9000
Mailing address
3801 INDIANA AVE, WINSTON SALEM, NC 27105-3408
(336) 744-1300
(336) 744-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC4801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996945
—
NC
01
—
96945
BLUE CROSS BLUE SHIELD
NC
Enumeration date
04/24/2007
Last updated
04/24/2012
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