Individual
BRYDEN SLOAN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
231 N. JUDD PARKWAY NE, SUITE 101, FUQUAY VARINA, NC 27526
(919) 887-5030
(919) 887-5022
Mailing address
231 N. JUDD PARKWAY NE, SUITE 101, FUQUAY VARINA, NC 27526
(919) 887-5030
(919) 887-5022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8580
NC
1223G0001X
General Practice Dentistry
Primary
8580
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910287
—
NC
Enumeration date
05/22/2008
Last updated
08/03/2010
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