Organization
MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA
Active
Other names
Eastern Carolina Oral and Maxillofacial Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RALPH VINTON D.D.S. (PARTNER)
(252) 247-2258
Entity
Organization
Contact information
Practice address
501 PENNY LANE, MOREHEAD CITY, NC 28557
(252) 247-2258
(252) 247-7783
Mailing address
501 PENNY LANE, MOREHEAD CITY, NC 28557
(252) 247-2258
(252) 247-7783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1749169
UNITED CONCORDIA, DR. LON
—
01
—
79096
UNITED CONCORDIA, VINTON
—
01
—
822407
UNITED CONCORDIA, SMITH
—
05
—
899000L
—
NE
05
—
899018P
—
NC
05
—
8997871
—
NC
01
—
9000L
BCBSNC, VINTON
NC
01
—
9018P
BCBSNC, LONG
NC
01
—
97871
BCBSNC, SMITH
NC
Enumeration date
01/24/2006
Last updated
08/16/2010
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