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Individual

DR. DEXTER GREGORY CHADWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
600 MOYE BLVD, 2514 HEALTH SCIENCES BUILDING, GREENVILLE, NC 27834-4300
(252) 744-2982
Mailing address
600 MOYE BLVD, SCHOOL OF DENTAL MEDICINE, GREENVILLE, NC 27834-4300
(252) 737-7401

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
3871
NC
1223E0200X
Endodontics
Primary
3871
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8991502
NC
Enumeration date
03/27/2009
Last updated
10/07/2011
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