Individual
DAVID G POLHEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8001 CREEDMOOR RD STE 211, RALEIGH, NC 27613-5692
(919) 870-7104
Mailing address
8001 CREEDMOOR RD STE 211, RALEIGH, NC 27613-5692
(919) 870-7104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97024
BCBSNC
NC
Enumeration date
04/19/2007
Last updated
08/05/2015
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