Organization
JESSICA MCCONNELL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA G MCCONNELL DDS (OWNER)
(919) 552-5113
Entity
Organization
Contact information
Practice address
320 W RANSOM ST, FUQUAY VARINA, NC 27526-2432
(919) 552-5113
(919) 552-2193
Mailing address
320 W RANSOM ST, FUQUAY VARINA, NC 27526-2432
(919) 552-5113
(919) 552-2193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995723
—
NC
01
—
95723
BCBS
NC
Enumeration date
08/02/2010
Last updated
08/02/2010
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