Organization
DR. P.L. JEFFRIES AND ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY LEE JEFFRIES DDS (DDS OWNER)
3367042829961
Entity
Organization
Contact information
Practice address
1307 DOVE ST, MONROE, NC 28112-5068
(704) 282-9961
(704) 282-9964
Mailing address
1307 DOVE ST, MONROE, NC 28112-5068
(704) 282-9961
(704) 282-9964
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900485
—
NC
Enumeration date
03/03/2009
Last updated
03/03/2009
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