Organization
EDWARD P. JESSUP, DDS, MSCO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PATTON JESSUP DDS (OWNER)
(910) 738-4465
Entity
Organization
Contact information
Practice address
4300 LUDGATE STREET, LUMBERTON, NC 28358
(910) 738-4465
Mailing address
4300 LUDGATE STREET, LUMBERTON, NC 28358
(910) 738-4465
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3568
NC
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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