Organization
EDWARD P. JESSUP, DDS, MSCO, PA
Active
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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