Individual
DR. JAMES RICHARD HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
600 MOYE BLVD MAIL STOP 654, GENERAL PRACTICE RESIDENCY, GREENVILLE, NC 27834
(252) 744-4618
(252) 744-2827
Mailing address
LAKESIDE ANNEX 7 & 8 MAIL STOP 701, ECU-SCHOOL OF DENTAL MEDICINE, GREENVILLE, NC 27834
(252) 737-7000
(252) 737-7049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8803
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OS36302
MS
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2009-01628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0660447
—
MS
Enumeration date
04/17/2007
Last updated
10/13/2010
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