Individual
JAMES HENRY FRYAR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
134 N MAGNOLIA STREET, MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Mailing address
PO BOX 688, MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3919
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
545170
UNITED CONCORDIA
—
01
—
92937
BCBS OF NC
NC
Enumeration date
12/12/2006
Last updated
07/08/2007
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