MEDICARE: DR. JANNA L. DAY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7573	NC

General Provider Information

NPI Number	:	1093928228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANNA L. DAY D.D.S.

Provider Business Mailing Address
First Line	:	104 SHOREHOUSE WAY
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5945
Country	:	US
Telephone Number	:	919-285-3924
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 SHOREHOUSE WAY
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5945
Country	:	US
Telephone Number	:	919-285-3924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	03/11/2009

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