Individual
DR. PERRY STEPHEN JUSTICE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2117 SIMONTON RD, SUITE 403, STATESVILLE, NC 28625-8403
(704) 873-8899
Mailing address
2575 MAHOGANY LN, HICKORY, NC 28602-9312
(828) 403-0089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6835
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899015H
—
NC
Enumeration date
03/06/2007
Last updated
03/27/2012
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