Organization
DARRYL JAMES DIEFES,DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL JAMES DIEFES DDS (DENTIST)
(910) 642-6500
Entity
Organization
Contact information
Practice address
904 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-6500
(910) 642-7581
Mailing address
904 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-6500
(910) 642-7581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4479
DENTAL LICENSE
NC
05
—
8992153
—
NC
Enumeration date
09/21/2006
Last updated
08/22/2020
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