Organization
KENNETH R. TRIPP. JR. DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RAY TRIPP JR. DDS (PRESIDENT)
(919) 556-5566
Entity
Organization
Contact information
Practice address
1906 S MAIN ST, SUITE 218, WAKE FOREST, NC 27587-5032
(919) 556-5566
(919) 562-5537
Mailing address
1906 S MAIN ST, SUITE 218, WAKE FOREST, NC 27587-5032
(919) 556-5566
(919) 562-5537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6308
NC
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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