Organization
PRASAD VASAMSETTI DMD, PLLC
Active
Other names
Brier Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD VEERA VASAMSETTI DMD (OWNER/ MANAGER)
(919) 354-5400
Entity
Organization
Contact information
Practice address
7841 ALEXANDER PROMENADE PL, SUITE 100, RALEIGH, NC 27617-1913
(919) 354-5400
(919) 354-5401
Mailing address
7841 ALEXANDER PROMENADE PL, SUITE 100, RALEIGH, NC 27617-1913
(919) 354-5400
(919) 354-5401
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
5906614
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002746701
UNITED CONCORDIA
NC
05
—
5906614
—
NC
Enumeration date
02/05/2013
Last updated
02/05/2013
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