Organization
WAYNE P. ATTKISSON,DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE PAGE ATTKISSON (DENTIST)
(252) 794-2053
Entity
Organization
Contact information
Practice address
402 STERLINGWORTH ST, WINDSOR, NC 27983-1726
(252) 794-2053
Mailing address
402 STERLINGWORTH ST, WINDSOR, NC 27983-1726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990288
—
NC
Enumeration date
12/18/2007
Last updated
12/18/2007
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