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Individual

DR. GREG MONTE MCCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
528 WILLIAMSON RD, SUITE 201, MOORESVILLE, NC 28117-9186
(704) 660-1802
(704) 660-1804
Mailing address
528 WILLIAMSON RD, SUITE 201, MOORESVILLE, NC 28117-9186
(704) 660-1802
(704) 660-1804

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC 6299
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
253953
CIGNA
NC
01
95661
BCBS
NC
Enumeration date
08/07/2006
Last updated
09/12/2014
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