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Individual

DR. JOEL ALEXANDER GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
212 W LEXINGTON AVE, SUITE 102, HIGH POINT, NC 27262-2534
(336) 886-4933
(336) 886-4485
Mailing address
212 W LEXINGTON AVE, SUITE 102, HIGH POINT, NC 27262-2534

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC5708
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
549026
UNITED CONCORDIA
01
81044434
BLUE CROSS
AL
05
8993142
NC
01
93142
BLUE CROSS
NC
Enumeration date
07/25/2006
Last updated
07/08/2007
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