Individual
DR. DOUGLAS SCONIA SANFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 KINGSTON DR, CHAPEL HILL, NC 27514-1650
(919) 933-9494
Mailing address
127 KINGSTON DR, CHAPEL HILL, NC 27514-1650
(919) 933-9494
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
10292
NC
1223G0001X
General Practice Dentistry
10292
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659636736
—
NC
Enumeration date
07/05/2012
Last updated
08/19/2019
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