Organization
DANIEL J DUFFY DMD, PLLC
Active
Other names
Live Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J DUFFY JR. DMD (OWNER)
(910) 762-1772
Entity
Organization
Contact information
Practice address
2520 DELANEY AVE, WILMINGTON, NC 28403-6002
(910) 762-1772
Mailing address
2520 DELANEY AVE, WILMINGTON, NC 28403-6002
(910) 762-1772
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
N/A
NC
Enumeration date
05/02/2022
Last updated
05/02/2022
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