Individual
DR. JOHN ROBERT SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
5 ROCKCLIFF PL, ASHEVILLE, NC 28801-4510
(828) 255-7781
(828) 258-3770
Mailing address
5 ROCKCLIFF PL, ASHEVILLE, NC 28801-4510
(828) 255-7781
(828) 258-3770
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4531
NC STATE DENTAL BOARD
NC
05
—
8997627
—
NC
Enumeration date
08/04/2006
Last updated
08/14/2008
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