Individual
DR. JEFFREY E AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-8200
Mailing address
600 MCKENZIE CIR, SOUTHPORT, NC 28461-5192
(985) 226-7667
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11191
NC
Other
Enumeration date
08/04/2009
Last updated
08/23/2022
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