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Organization

ANDERSON AND SLACK AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE CLARK ANDERSON (DDS)
(910) 326-3611
Entity
Organization

Contact information

Practice address
718A WEST CORBETT AVE, SWANSBORO, NC 28584
(910) 326-3611
(910) 326-1122
Mailing address
718A WEST CORBETT AVE, SWANSBORO, NC 28584
(910) 326-3611
(910) 326-1122

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2996
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3224
DELTA
NC
05
8990759
NC
01
D269C
BCBS
NC
Enumeration date
09/08/2006
Last updated
08/22/2020
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