Individual
DR. MERON NEGASH ANDEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
80 AUTUMN FERN TRAIL, EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY, LILLINGTON, NC 27546
(252) 737-7350
Mailing address
PO BOX 453, LILLINGTON, NC 27546-0453
(910) 984-1556
(910) 984-1557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5699
AZ
122300000X
Dentist
Primary
9628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709644
—
AZ
Enumeration date
07/02/2006
Last updated
12/18/2015
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