Individual
JULIEN KNOX WARREN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2129 S GLENBURNIE RD, NEW BERN, NC 28562-2240
(252) 633-6111
(252) 633-6262
Mailing address
PO BOX 12791, NEW BERN, NC 28561-2791
(252) 633-6111
(252) 633-6262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0273C
BLUECROSS/BLUESHIELD
NC
05
—
890273C
—
NC
Enumeration date
08/05/2006
Last updated
09/06/2007
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