Organization
S. W. WEBBER D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPURGEON WILLARD WEBBER JR. D.D.S. (PRESIDENT)
(704) 392-9357
Entity
Organization
Contact information
Practice address
2120 KELLER AVE, CHARLOTTE, NC 28216-4632
(704) 392-9357
(704) 394-9098
Mailing address
2120 KELLER AVE, CHARLOTTE, NC 28216-4632
(704) 392-9357
(704) 394-9098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2678
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890160J
—
NC
Enumeration date
08/07/2006
Last updated
07/30/2008
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