Organization
L'TANYA J. BAILEY, D.D.S, MS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L'TANYA JOY BAILEY D.D.S., MS, PLLC (ORTHODONTIST)
(336) 886-7000
Entity
Organization
Contact information
Practice address
6425 OLD PLANK RD, SUITE 108, HIGH POINT, NC 27265-3277
(336) 886-7000
(336) 886-7002
Mailing address
PO BOX 6074, HIGH POINT, NC 27262-6074
(336) 886-7000
(336) 886-7002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5199
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990332
—
NC
Enumeration date
01/08/2007
Last updated
09/24/2012
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