Organization
JASMINE R ELMORE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE ELMORE DDS (OWNER/DENTIST)
(252) 291-4300
Entity
Organization
Contact information
Practice address
2401 WOOTEN BLVD SW STE F, WILSON, NC 27893-4464
(252) 291-4300
Mailing address
2401 WOOTEN BLVD SW STE F, WILSON, NC 27893-4464
(252) 291-4300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
09596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932546157
—
NC
Enumeration date
03/09/2017
Last updated
03/09/2017
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