Individual
DR. JEREMIAH D EISSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1505 S GLENBURNIE RD STE J, NEW BERN, NC 28562-2632
(252) 672-4404
(252) 672-4402
Mailing address
1505 S GLENBURNIE RD STE J, NEW BERN, NC 28562-2632
(252) 672-4404
(252) 672-4402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909169
—
NC
Enumeration date
08/24/2006
Last updated
07/21/2011
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