Individual
DR. KURT THOMAS SCHEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1301 N HOWE STREET, SOUTHPORT, NC 28461
(910) 457-5061
(910) 457-4707
Mailing address
314 E BAY STREET, SOUTHPORT, NC 28461
(910) 457-0224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680962
UNITED CONCORDIA
NC
05
—
8997612
—
NC
01
—
97612
BCBS NC
NC
Enumeration date
08/23/2006
Last updated
07/08/2007
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