Individual
DR. JILLIAN DUBUISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
225 COURT ST, JEFFERSON, NC 28640
(336) 246-9449
(336) 846-1910
Mailing address
225 COURT ST, JEFFERSON, NC 28640
(781) 217-4260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12113
NC
1223D0001X
Public Health Dentistry
Primary
12113
NC
1223G0001X
General Practice Dentistry
DEN.00204329
CO
Other
Enumeration date
02/22/2020
Last updated
10/06/2021
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