Organization
DR. DALTON PETER BROOKS, JR., DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALTON PETER BROOKS JR. DMD (OWNER)
(910) 674-3672
Entity
Organization
Contact information
Practice address
727 WESLEY PINES RD, LUMBERTON, NC 28358-2105
(910) 674-3672
(910) 674-3673
Mailing address
727 WESLEY PINES RD, LUMBERTON, NC 28358-2105
(910) 674-3672
(910) 674-3673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990092
—
NC
01
—
90092
BCBS
NC
Enumeration date
09/15/2008
Last updated
09/15/2008
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