Individual
DENNIS T. SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
(919) 956-4535
Mailing address
PO BOX 52119, DURHAM, NC 27717-2119
(919) 956-4000
(919) 956-4535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7997845
—
NC
Enumeration date
06/14/2006
Last updated
04/17/2023
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