Organization
KEVIN B. KOEBLEY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BRUCE KOEBLEY D.D.S. (PRESIDENT)
(919) 934-4664
Entity
Organization
Contact information
Practice address
710 WILKINS ST, SMITHFIELD, NC 27577-4648
(919) 934-4664
(919) 934-5693
Mailing address
710 WILKINS ST, SMITHFIELD, NC 27577-4648
(919) 934-4664
(919) 934-5693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4364
NC
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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