Individual
DR. EDWARD P. JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4300 LUDGATE ST, LUMBERTON, NC 28358-2461
(910) 738-4465
(910) 738-7802
Mailing address
PO BOX 1545, LUMBERTON, NC 28359-1545
(910) 738-4465
(910) 738-7802
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3568
NC
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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