Individual
GREGORY PAUL RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4902 MAIN ST., SUITE A, SHALLOTTE, NC 28470
(910) 754-8289
(910) 755-3421
Mailing address
PO BOX 2437, SHALLOTTE, NC 28459-2437
(910) 754-8289
(910) 755-3421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5570
NC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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