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Individual

DR. JOEY D PESICEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 RIDGE VIEW DR STE 101, CARY, NC 27511-5589
(919) 481-0330
(919) 481-1565
Mailing address
100 RIDGE VIEW DR STE 101, CARY, NC 27511-5589
(919) 481-0330
(919) 481-1565

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7647
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016C4
BCBS
NC
01
902V7
NPI REGISTRATION
NC
Enumeration date
08/18/2006
Last updated
02/07/2018
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