Organization
PARADISE FAMILY DENTISTRY III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE ERSKINE FOULKES D.D.S. (OWNER/DENTIST)
(919) 699-9947
Entity
Organization
Contact information
Practice address
2003 HIGHWAY 54, SUITE C, DURHAM, NC 27713
(919) 699-9947
Mailing address
2003 HIGHWAY 54, SUITE C, DURHAM, NC 27713
(919) 699-9947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7603
NC
1223G0001X
General Practice Dentistry
7841
NC
1223G0001X
General Practice Dentistry
8332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906536
—
NC
05
—
89902KG
—
NC
05
—
89902VW
—
NC
Enumeration date
07/06/2009
Last updated
07/06/2009
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