Organization
DR. KENT S. DENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT SWINDELL DENTON D.D.S (OWNER)
(252) 566-9616
Entity
Organization
Contact information
Practice address
515 S CASWELL ST, LA GRANGE, NC 28551-2005
(252) 566-9616
(252) 566-4910
Mailing address
PO BOX 8, LA GRANGE, NC 28551-0008
(252) 566-9616
(252) 566-4910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816475
UNITED CONCORDIA
—
05
—
8992125
—
NC
01
—
92125
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/23/2008
Last updated
06/24/2008
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