Individual
DR. SAMUEL THORNE GREGORY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
608-B WEST BROAD STREET, DUNN, NC 28334-4812
(910) 892-8131
(910) 892-8132
Mailing address
608-B WEST BROAD STREET, DUNN, NC 28334-4812
(910) 892-8131
(910) 892-8132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993393
—
NC
Enumeration date
05/02/2007
Last updated
07/08/2007
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