Organization
SUE A. MINNEMAN-FOWLER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE ANN MINNEMAN-FOWLER DDS (PRESIDENT/OWNER)
(910) 743-2521
Entity
Organization
Contact information
Practice address
1002 JENKINS ANENUE, MAYSVILLE, NC 28555
(910) 743-2521
(910) 743-2531
Mailing address
1002 JENKINS AVENUE, MAYSVILLE, NC 28555-0418
(910) 743-2521
(910) 743-2531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900050
—
NC
Enumeration date
07/24/2013
Last updated
07/24/2013
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