Organization
ANDREW R. PERNELL, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R. PERNELL DDS (OWNER)
(980) 247-0040
Entity
Organization
Contact information
Practice address
12823 HERITAGE VISTA DR, HUNTERSVILLE, NC 28078-6058
(828) 310-7860
Mailing address
275 N HIGHWAY 16, SUITE 101, DENVER, NC 28037-3000
(980) 247-0040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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