Individual
DR. RICHARD RAYMOND PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MAGD
Contact information
Practice address
111 DOCTORS PARK, LINCOLNTON, NC 28092-4407
(704) 735-8228
(704) 735-2829
Mailing address
111 DOCTORS PARK, LINCOLNTON, NC 28092-4407
(704) 735-8228
(704) 735-2829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3590
NC LICENSE NUMBER
NC
Enumeration date
05/24/2005
Last updated
07/08/2007
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