Individual
DR. COURTNEY MITCHELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 NORTH HERRITAGE ST, KINSTON, NC 28501
(252) 522-4313
(252) 522-5777
Mailing address
2500 NORTH HERRITAGE ST, KINSTON, NC 28501
(252) 522-4313
(252) 522-5777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995998
—
NC
01
—
95998
BCBS
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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