Individual
DR. HALCYON L INNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 DOCTORS DR, BOONE, NC 28607-5000
(828) 262-4651
(828) 386-1773
Mailing address
PO BOX 1490, BOONE, NC 28607-1490
(828) 262-3886
(833) 665-5329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401415407
VA
1223G0001X
General Practice Dentistry
Primary
13465
NC
1223G0001X
General Practice Dentistry
61715
KS
Other
Enumeration date
02/05/2016
Last updated
02/12/2024
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