Individual
DR. JAKE ANDREW COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 309 HM SMITH BLVD., CAMP LEJEUNE, NC 28547
(910) 451-1720
Mailing address
5713 PARTRIDGE LN, RALEIGH, NC 27609-4125
(919) 706-2770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13809
NC
1223G0001X
General Practice Dentistry
13809
NC
Other
Enumeration date
05/15/2023
Last updated
08/23/2024
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