Individual
DR. DOUGLAS FORREST DEGROOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2250 SHIPYARD BLVD, SUITE 15, WILMINGTON, NC 28403-8070
(910) 452-1700
(910) 452-3671
Mailing address
2250 SHIPYARD BLVD, SUITE 15, WILMINGTON, NC 28403-8070
(910) 452-1700
(910) 452-3671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992089
—
NC
Enumeration date
07/28/2005
Last updated
01/17/2012
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