Individual
BEVERLY ANN THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7100 SIX FORKS RD, SUITE 235, RALEIGH, NC 27615-6156
(919) 782-3798
(919) 782-4459
Mailing address
7100 SIX FORKS RD, SUITE 235, RALEIGH, NC 27615-6156
(919) 782-3798
(919) 782-4459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1786
NM
1223G0001X
General Practice Dentistry
Primary
8353
NC
1223G0001X
General Practice Dentistry
D3031
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908719
—
NC
05
—
820454460
—
NM
01
—
903KG
BCBS NC
NC
Enumeration date
07/01/2005
Last updated
03/26/2010
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