Individual
JONATHAN PATRICK NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3218 BRAGG BLVD, FAYETTEVILLE, NC 28303
(919) 498-0575
Mailing address
7650 SPURGE DR, FAYETTEVILLE, NC 28311-9265
(515) 664-1168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12865
NC
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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