Individual
JANICE L. HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PA
Contact information
Practice address
310 S MAIN ST, ROLESVILLE, NC 27571-9661
(919) 556-6761
(919) 556-0066
Mailing address
PO BOX 9, ROLESVILLE, NC 27571-0009
(919) 556-6761
(919) 556-0066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998285
—
NC
Enumeration date
07/26/2006
Last updated
07/08/2007
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