Organization
PERRY L. JEFFRIES DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY L JEFFRIES DDS (OWNER)
(336) 230-0346
Entity
Organization
Contact information
Practice address
714 SUMMIT AVE, GREENSBORO, NC 27405-7832
(336) 833-3961
(866) 407-3096
Mailing address
871 HUFFMAN ST, GREENSBORO, NC 27405-7205
(336) 230-0346
(336) 230-0348
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588833131
—
NC
Enumeration date
06/03/2014
Last updated
06/03/2014
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