Organization
BRYDEN MCCORMICK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYDEN S MCCORMICK (OWNER)
(919) 887-5030
Entity
Organization
Contact information
Practice address
231 N JUDD PKWY NE, SUITE 101, FUQUAY VARINA, NC 27526-2385
(919) 887-5030
(919) 887-5022
Mailing address
231 N JUDD PKWY NE, SUITE 101, FUQUAY VARINA, NC 27526-2385
(919) 887-5030
(919) 887-5022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8580
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910287
—
NC
Enumeration date
12/04/2012
Last updated
12/04/2012
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