Organization
FULLER & ASSOCIATES 13, PLLC
Active
Other names
Southern Pines Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD RUMLEY (COO)
(336) 586-5012
Entity
Organization
Contact information
Practice address
655 SW BROAD ST, SOUTHERN PINES, NC 28387-5925
(910) 692-6500
Mailing address
3450 FORESTDALE DR, BURLINGTON, NC 27215-9142
(336) 586-5012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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