Organization
DR. JERNIGAN AND ASSOCIATES, P.A.
Active
Other names
Drs. Jernigan, Davis and Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD WILLIAMS JERNIGAN JR. DDS (PRESIDENT)
(252) 977-7197
Entity
Organization
Contact information
Practice address
1427 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804-1843
(252) 977-7197
(252) 977-7403
Mailing address
1427 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804
(252) 977-7197
(252) 977-6756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4913
NC
1223G0001X
General Practice Dentistry
5140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4913
DR JERNIGAN DENTAL LIC#
NC
01
—
5140
DR DAVIS DENTAL LICENSE
NC
05
—
8992091
—
NC
05
—
8994578
—
NC
Enumeration date
12/09/2005
Last updated
12/04/2023
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