Organization
L'TANYA J. BAILEY, D.D.S, MS, PLLC
Active
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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