Organization
CHERYL R. LOCKLEAR, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL R LOCKLEAR DDS (OWNER/PRACTITIONER)
(910) 843-4262
Entity
Organization
Contact information
Practice address
239 S MAIN STREET, RED SPRINGS, NC 28377-0231
(910) 843-4262
(910) 843-1238
Mailing address
PO BOX 231, RED SPRINGS, NC 28377-0231
(910) 843-4262
(910) 843-1238
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805789
UNITED CONCORDIA
NC
05
—
8995366
—
NC
01
—
95366
NC HEALTH CHOICE
NC
Enumeration date
02/19/2008
Last updated
02/19/2008
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