Individual
AMY EARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
900 PAVERSTONE DR, RALEIGH, NC 27615-4701
(919) 847-8413
(919) 847-4108
Mailing address
900 PAVERSTONE DR, RALEIGH, NC 27615-4701
(919) 847-8413
(919) 847-4108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99794
BCBS
NC
Enumeration date
10/26/2006
Last updated
07/08/2007
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