Individual
DR. JONATHAN MICHAEL RESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
79 FALLING SPRINGS DR STE 110, CHAPEL HILL, NC 27516-8493
(919) 636-9717
Mailing address
79 FALLING SPRINGS DR STE 110, CHAPEL HILL, NC 27516-8493
(919) 636-9717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8801
NC
1223P0300X
Periodontics
Primary
8801
NC
Other
Enumeration date
06/10/2009
Last updated
11/21/2022
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