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Organization

FRYAR AND DAVIDSON DENTISTRY PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES HENRY FRYAR III DDS (MANAGER)
(704) 663-1800
Entity
Organization

Contact information

Practice address
134 N MAGNOLIA STREET, MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Mailing address
PO BOX 688, MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3919
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017N5
BCBS OF NC
NC
01
887074
UNITED CONCORDIA
Enumeration date
12/12/2006
Last updated
08/22/2020
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