Organization
MADELYN SHORE, DMD, PLLC
Active
Other names
Newport Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELYN GRAY SHORE DMD (OWNER)
(336) 909-5777
Entity
Organization
Contact information
Practice address
271 HOWARD BLVD, NEWPORT, NC 28570-7927
(252) 223-4161
(252) 223-2442
Mailing address
PO BOX 309, NEWPORT, NC 28570-0309
(252) 223-4161
(252) 223-2442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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