Individual
DR. ELDON F SLOAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 CHURCH STREET, BROADWAY, NC 27505
(919) 258-9321
(919) 258-9741
Mailing address
PO BOX 70, BROADWAY, NC 27505
(919) 258-9321
(919) 258-9741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997843
—
NC
01
—
97843
BLUE CROSS BLUE SHIELD
NC
Enumeration date
10/31/2006
Last updated
07/08/2007
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