Individual
DR. DANNY S PENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
234 BERT MARTIN RD, MOUNT OLIVE, NC 28365-7078
(919) 658-5077
Mailing address
234 BERT MARTIN RD, MOUNT OLIVE, NC 28365-7078
(919) 658-5077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8995657
BLUE CROSS BLUE SHIELD
NC
05
—
8995657
—
NC
Enumeration date
08/01/2007
Last updated
08/01/2007
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