Individual
BRIAN P VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5833 PHYLISS LN, MINT HILL, NC 28227-9031
(704) 568-8010
Mailing address
5833 PHYLISS LN, MINT HILL, NC 28227-9031
(704) 568-8010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12100
NC
1223G0001X
General Practice Dentistry
9384
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12100
NC BOARD OF DENTISTRY
NC
Enumeration date
06/24/2019
Last updated
07/30/2021
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