Individual
DR. JIM CONGLETON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2811 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-0424
(252) 638-6662
Mailing address
2811 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-0424
(252) 638-6662
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4047
NC
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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