Individual
DR. MADISON HOMESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
175 CROSS CENTER RD, DENVER, NC 28037-5009
(980) 575-1424
Mailing address
312 N LAUREL ST, LINCOLNTON, NC 28092-2912
(704) 740-9220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12291
NC
1223G0001X
General Practice Dentistry
Primary
12291
NC
Other
Enumeration date
06/23/2021
Last updated
10/16/2024
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