Organization
MARK D. PABST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D PABST III (OWNER)
(252) 355-2300
Entity
Organization
Contact information
Practice address
2799 CHARLES BLVD, GREENVILLE, NC 27858-5933
(252) 355-2300
Mailing address
2799 CHARLES BLVD, GREENVILLE, NC 27858-5933
(252) 355-2300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831130780
INDIVIDUAL NPI
NC
05
—
8996588
—
NC
Enumeration date
01/16/2007
Last updated
08/22/2020
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