Individual
DR. BRADY JAMES SEMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
1422 COMMONWEALTH DR, WILMINGTON, NC 28403-0302
(910) 509-1422
(910) 509-1421
Mailing address
1422 COMMONWEALTH DR, WILMINGTON, NC 28403-0302
(910) 509-1422
(910) 509-1421
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
200101495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10390209
VOCATIONAL REHABILITATION
NC
01
—
131F4
BLUE CROSS BLUE SHIELD
NC
05
—
89131F4
—
NC
05
—
89902FT
—
NC
Enumeration date
10/10/2005
Last updated
07/25/2011
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