Organization
KURT T SCHEETZ DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT THOMAS SCHEETS DDS PA (OWNER)
(910) 457-5061
Entity
Organization
Contact information
Practice address
1301 N HOWE STREET, SOUTHPORT, NC 28461-0355
(910) 457-5061
(910) 457-4707
Mailing address
PO BOX 10355, SOUTHPORT, NC 28461-0355
(910) 457-5061
(910) 457-4707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997612
—
NC
Enumeration date
04/16/2008
Last updated
04/16/2008
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