Individual
NICHOLAS JEFFREY EILERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7228 MONCURE PITTSBORO RD, MONCURE, NC 27559-9595
(919) 542-1641
Mailing address
301 LLOYD ST, CARRBORO, NC 27510-1823
(919) 942-8741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12963
NC
1223G0001X
General Practice Dentistry
08741
IA
Other
Enumeration date
07/01/2010
Last updated
09/21/2022
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