Organization
DOUGLAS A TUTTEROW DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALAN TUTTEROW DDS (PRESIDENT)
(336) 924-9555
Entity
Organization
Contact information
Practice address
4680 YADKINVILLE RD, PFAFFTOWN, NC 27040-8622
(336) 924-9555
(336) 924-3168
Mailing address
4680 YADKINVILLE RD, PFAFFTOWN, NC 27040-8622
(336) 924-9555
(336) 924-3168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4998654
—
NC
Enumeration date
02/16/2007
Last updated
06/12/2008
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