Individual
JEFFREY ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 WATER OAK SUITES, BREVARD, NC 28712
(828) 884-3421
(828) 884-6336
Mailing address
300 WATER OAK SUITES, BREVARD, NC 28712
(828) 884-3421
(828) 884-6336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900290
—
NC
Enumeration date
07/05/2006
Last updated
07/08/2007
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