Organization
PERRY L. JEFFRIES DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY LEE JEFFRIES DDS (DDS OWNER)
(919) 667-1680
Entity
Organization
Contact information
Practice address
1208 RIDDLE RD STE B, DURHAM, NC 27713-1365
(919) 667-1680
(919) 667-1684
Mailing address
1208 RIDDLE RD STE B, DURHAM, NC 27713-1365
(919) 667-1680
(919) 667-1684
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907508
—
NC
Enumeration date
03/03/2009
Last updated
03/03/2009
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