Individual
DR. JEFFERSON DRAUGHN WHITEHEAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1213 N MAIN ST, FUQUAY VARINA, NC 27526-2616
(910) 814-2944
Mailing address
PO BOX 2227, LILLINGTON, NC 27546-2227
(910) 814-2944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4273
NC
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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