Congleton, Jim

Congleton, Jim is an individual health care provider with primary practice located at 2811 Village Way , Trent Woods NC 28562-7351. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Congleton, Jim can be contacted via phone (252) 633-0424.

Contact Information

Primary practice address
2811 Village Way Trent Woods NC 28562-7351
Fax: (252) 638-6662
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4047 North Carolina

Profile Details

NPI number 1184613531
LBN Legal business name Congleton, Jim
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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