Organization
TERESA G. BIGGERSTAFF, DDS, MD, PA
Active
Other names
Advanced Oral & Facial Surgery of the Triad
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA A WINTERS (OFFICE MANAGER)
(336) 992-2123
Entity
Organization
Contact information
Practice address
900 OLD WINSTON RD, SUITE 204, KERNERSVILLE, NC 27284-9964
(336) 992-2123
(336) 992-2330
Mailing address
900 OLD WINSTON RD, SUITE 204, KERNERSVILLE, NC 27284-9964
(336) 992-2123
(336) 992-2330
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2007-00937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907301
—
NC
Enumeration date
08/21/2012
Last updated
08/21/2012
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