Organization
AVERY'S CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE CASEY (DENTIST)
828676211446
Entity
Organization
Contact information
Practice address
1748 BREVARD RD, ARDEN, NC 28704-9658
(828) 676-2114
Mailing address
1748 BREVARD RD, ARDEN, NC 28704-9658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326447871
—
NC
Enumeration date
12/29/2016
Last updated
12/29/2016
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