Thurmond, Beverly Ann
Thurmond, Beverly Ann is an individual health care provider with primary practice located at 7100 Six Forks Rd Suite 235, Raleigh NC 27615-6156. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Thurmond, Beverly Ann can be contacted via phone (919) 782-3798.Contact Information
Primary practice address
7100 Six Forks Rd Suite 235
Raleigh NC 27615-6156
Phone: (919) 782-3798
Fax: (919) 782-4459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8353 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 1786 | New Mexico |
| Dental Providers / General Practice | 1223G0001X | D3031 | Idaho |
Profile Details
| NPI number | 1326045519 |
|---|---|
| LBN Legal business name | Thurmond, Beverly Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 26th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326045519 | NPPES |
| North Carolina | MEDICAID | 5908719 | |
| North Carolina | MEDICAID | 820454460 | |
| North Carolina | Other | 903KG |
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