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Individual

DR. HERBERT BENNETT EDGERTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1582 HWY 56, CREEDMOOR, NC 27615
(919) 528-1980
Mailing address
PO BOX 596, CREEDMOOR, NC 27522-0596
(919) 528-1980

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3874
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8992323
NC
Enumeration date
01/11/2006
Last updated
07/08/2007
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