Individual
DR. DAVID CHARLES SMALL
Active
Individual
DR. DAVID CHARLES SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., P.A.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562229449
TAX ID #
NC
01
—
7232
DENTAL LICENSE
NC
05
—
899014C
—
NC
01
—
9014C
BCBS PROVIDER #
NC
Enumeration date
07/02/2006
Last updated
03/17/2018
Update your record
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