Organization
EAST CAROLINA UNIVERSITY
Active
Parent organization
EAST CAROLINA UNIVERSITY
Other names
East Carolina University School of Dental Medicine, Faculty Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CAROLINA UNIVERSITY
Authorized official
DR. DEXTER GREGORY CHADWICK DDS, MS (DEAN, SCHOOL OF DENTAL MEDIICNE)
(252) 737-7000
Entity
Organization
Contact information
Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7011
(252) 737-7846
Mailing address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834
(252) 737-7122
(252) 737-0221
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
125Q00000X
Oral Medicine Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/12/2017
Last updated
07/26/2024
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