Organization
REEBYE PARK & RICHMAN DDS PLC
Active
Parent organization
REEBYE PARK & RICHMAN DDS PLC
Other names
Triangle Implant Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REEBYE PARK & RICHMAN DDS PLC
Authorized official
ANDRES F HENAO (TECHNICAL DIRECTOR)
(919) 563-2897
Entity
Organization
Contact information
Practice address
1107 S FIFTH ST, SUITE 250, MEBANE, NC 27302-9597
(919) 237-9400
Mailing address
1107 S FIFTH ST STE 250, MEBANE, NC 27302-9896
(919) 563-2897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7381
NC
125Q00000X
Oral Medicine Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917450
—
NC
Enumeration date
05/04/2011
Last updated
10/12/2023
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