Organization
LARRY L HEMBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY LOU HEMBY D.D.S. (DENTIST)
(910) 457-5026
Entity
Organization
Contact information
Practice address
621A N FODALE AVE, SOUTHPORT, NC 28461-3550
(910) 457-5026
(910) 457-6207
Mailing address
621A N FODALE AVE, SOUTHPORT, NC 28461-3550
(910) 457-5026
(910) 457-6207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
893776
OTHER
NC
05
—
8993776
—
NC
Enumeration date
06/15/2007
Last updated
08/22/2020
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