Individual
DR. L'TANYA JOY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS, PLLC
Contact information
Practice address
6425 OLD PLANK RD, SUITE 108, HIGH POINT, NC 27265-3277
(336) 886-7000
(336) 886-7002
Mailing address
6425 OLD PLANK RD, SUITE 108, HIGH POINT, NC 27265-3277
(336) 886-7000
(336) 886-7002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5199
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990332
—
NC
Enumeration date
04/04/2007
Last updated
07/08/2007
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