Individual
JAN E FAULK EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
UNC DEPARTMENT OF ORAL MAXILLOFACIAL SURGERY, 115 BRAUER HALL, CB 7450, CHAPEL HILL, NC 27599-7450
(919) 966-1126
(919) 966-6019
Mailing address
UNC DEPARTMENT OF ORAL MAXILLOFACIAL SURGERY, 115 BRAUER HALL, CB 7450, CHAPEL HILL, NC 27599-7450
(919) 966-1126
(919) 966-6019
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NC0080
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
TX12004
TX
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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