Organization
JOSEPH R. HENDRICK, JR. DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R HENDRICK DDS (DOCTOR/OWNER)
(704) 484-0077
Entity
Organization
Contact information
Practice address
511 N MORGAN ST, SHELBY, NC 28150-4436
(704) 484-0077
(704) 482-2229
Mailing address
511 N MORGAN ST, SHELBY, NC 28150-4436
(704) 484-0077
(704) 482-2229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5396
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993792
—
NC
Enumeration date
03/08/2008
Last updated
01/05/2009
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