Individual
DR. JEFFREY RALPH VINTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 PENNY LANE, MOREHEAD CITY, NC 28557
(252) 247-2258
(252) 247-7783
Mailing address
501 PENNY LANE, MOREHEAD CITY, NC 28557
(252) 247-2258
(252) 247-7783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298M
BCBS
NC
01
—
709096
UNITED CONCORDIA
—
05
—
899000L
—
NC
Enumeration date
01/19/2006
Last updated
07/08/2007
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