Organization
PAUL E HENDRICKS JR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EUGENE HENDRICKS JR. DDS (OWNER/PRESIDENT)
(704) 739-7588
Entity
Organization
Contact information
Practice address
203 JUNIPER STREET, KINGS MOUNTAIN, NC 28086-3220
(704) 739-7588
(704) 739-4352
Mailing address
203 JUNIPER STREET, KINGS MOUNTAIN, NC 28086-3220
(704) 739-7588
(704) 739-4352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993746
—
NC
Enumeration date
10/18/2006
Last updated
08/22/2020
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