Organization
JENNIFER TEDDER, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TEDDER DDS (ENDODONTIST)
(252) 985-3636
Entity
Organization
Contact information
Practice address
400 PEACHTREE STREET, ROCKY MOUNT, NC 27804-4831
(252) 985-3636
Mailing address
400 PEACHTREE ST, ROCKY MOUNT, NC 27804-4831
(252) 985-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6608
NC
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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