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Organization

CAROLINAS CENTER FOR ENDODONTICS AND DENTAL MICROSURGER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STUART O MILLER DDS (OWNER)
(910) 577-4330
Entity
Organization

Contact information

Practice address
200 DOCTORS DRIVE, SUITE G, JACKSONVILLE, NC 28546
(910) 577-4330
(910) 577-3405
Mailing address
200 DOCTORS DRIVE, SUITE G, JACKSONVILLE, NC 28546
(910) 577-4330
(910) 577-3405

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
5831
NC
1223E0200X
Endodontics
Primary
5846
NC
1223E0200X
Endodontics

Other

Enumeration date
02/17/2012
Last updated
12/07/2022
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