Individual
GORDON L TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
212 N WILSON AVE, DUNN, NC 28334-4231
(910) 892-7370
(910) 892-1331
Mailing address
212 N WILSON AVE, DUNN, NC 28334-4231
(910) 892-7370
(910) 892-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822090
UNITED CONCORDIA
NC
05
—
8998514
—
NC
01
—
98514
BCBS ID #
NC
Enumeration date
10/24/2006
Last updated
07/08/2007
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