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Individual

DR. ADAM PETER BUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
571 YOPP RD STE 308, JACKSONVILLE, NC 28540-3683
(910) 716-0101
(910) 294-8874
Mailing address
571 YOPP RD STE 308, JACKSONVILLE, NC 28540-3683
(910) 716-0101
(910) 294-8874

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
63640
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12567
NC

Other

Enumeration date
07/15/2014
Last updated
03/31/2022
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