Individual
NONA ILENE BREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
1506 E FRANKLIN ST, 204, CHAPEL HILL, NC 27514-2825
(919) 967-1776
(919) 967-1990
Mailing address
1506 E FRANKLIN ST, 204, CHAPEL HILL, NC 27514-2825
(919) 967-1776
(919) 967-1990
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570343
UNITED CONCORDIA
NC
05
—
7991086
—
NC
01
—
91086
BLUE CROSS BLUE SHIELD
NC
Enumeration date
10/04/2006
Last updated
07/08/2007
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