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Organization

SCOTT M. VINES, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT MICHAEL VINES D.D.S. (DENTIST/OWNER)
(336) 342-1581
Entity
Organization

Contact information

Practice address
1123 S MAIN ST, REIDSVILLE, NC 27320-5340
(336) 342-1581
(336) 349-7350
Mailing address
1123 S MAIN ST, REIDSVILLE, NC 27320-5313
(336) 342-1581
(336) 349-7350

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6612
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899007X
NC
Enumeration date
08/20/2006
Last updated
09/17/2008
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