Organization
DOUGLAS F. DEGROOTE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS FORREST DEGROOTE DDS (ORAL SURGEON)
(910) 452-1700
Entity
Organization
Contact information
Practice address
2250 SHIPYARD BLVD STE 15, WILMINGTON, NC 28403-8070
(910) 452-1700
(910) 452-3671
Mailing address
2250 SHIPYARD BLVD STE 15, WILMINGTON, NC 28403-8070
(910) 452-1700
(910) 452-3671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992089
—
NC
Enumeration date
01/28/2008
Last updated
01/28/2008
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