Individual
DR. JEFFREY DAVID CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1054 NC 24-87, CAMERON, NC 28326-6953
(910) 436-1922
Mailing address
1156 LOOKOUT RIDGE RD, APEX, NC 27502-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11360
NC
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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