Organization
BCKINGSBURY PLLC
Active
Other names
Dome Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE KINGSBURY (DENTIST)
(904) 710-8011
Entity
Organization
Contact information
Practice address
2162 EMMAS GROVE RD, FAIRVIEW, NC 28730
(828) 470-1221
(828) 470-1280
Mailing address
2162 EMMAS GROVE RD, FAIRVIEW, NC 28730
(828) 470-1221
(828) 470-1280
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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