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NPI Code Detail

MEDICARE: DR. PEYTON BROWN ABSHER DMD

MEDICARE: DR. PEYTON BROWN ABSHER DMD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2122300000XDentist11848NC

General Provider Information

NPI Number : 1316561103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEYTON BROWN ABSHER DMD
Provider Business Mailing Address
First Line : 147 W MEADOW DR # E3
Second Line :
City : JEFFERSON
State : NC
Zip : 28640-9396
Country : US
Telephone Number : 828-773-3922
Fax Number :
Provider Business Practice Location Address
First Line : 200 W PARK CIR STE C
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3583
Country : US
Telephone Number : 336-568-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2020
Last Update Date : 07/06/2023

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