Individual
DR. GUNTHER PENSON HEYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
261 BELVOIR HWY, GREENVILLE, NC 27834-8193
(252) 695-6352
(252) 695-6358
Mailing address
PO BOX 347, POWELLS POINT, NC 27966-0347
(919) 801-6624
(252) 491-2720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5981 C1
AL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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