Individual
DR. JASMINE RENEE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2401 WOOTEN BLVD SW, SUITE F, WILSON, NC 27893
(252) 291-4300
(252) 291-2337
Mailing address
4049 LANDOVER PEAK PL, RALEIGH, NC 27616-9796
(252) 916-5875
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9596
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2013
Last updated
05/09/2023
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