Individual
MEAD L SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50716 HWY 12, FRISCO, NC 27936
(252) 995-4101
(252) 995-4423
Mailing address
PO BOX 967, BUXTON, NC 27920
(252) 995-4101
(252) 995-4423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6725
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90057
BCBS
NC
01
—
971567
TRICARE UNITED CONCORDIA
NC
Enumeration date
11/24/2006
Last updated
07/08/2007
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