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Individual

JOHN N KENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1031 WEISS AVE, SUITE 201, FAYETTEVILLE, NC 28305-5630
(910) 689-1475
(910) 323-0015
Mailing address
2028 LITHO PL STE 300, FAYETTEVILLE, NC 28304-2538
(910) 689-1475
(910) 323-0015

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NC 6146
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8994865
NC
Enumeration date
03/09/2007
Last updated
10/25/2019
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