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Individual

DR. DONALD ALFRED WORM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7000
Mailing address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13169
NC
1223G0001X
General Practice Dentistry
16304
MD
1223G0001X
General Practice Dentistry
2901015080
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13169
NC STATE DENTAL LICENSE
NC
Enumeration date
08/19/2006
Last updated
06/23/2023
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