Organization
DAVID J MAYBERRY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J MAYBERRY DDS (PRESIDENT)
(704) 637-1232
Entity
Organization
Contact information
Practice address
1539 E INNES ST, SALISBURY, NC 28146-6117
(704) 637-1232
(704) 637-0446
Mailing address
1539 E INNES ST, SALISBURY, NC 28146-6117
(704) 637-1232
(704) 637-0446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4792
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995584
—
NC
Enumeration date
04/07/2008
Last updated
04/07/2008
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