Healthcare Provider Details

I. General information

NPI: 1386889434
Provider Name (Legal Business Name): LEKECIA D MCGEE DDS AND TIARRA R RORIE DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 12/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N CHURCH ST
ASHEBORO NC
27203-4702
US

IV. Provider business mailing address

422 N CHURCH ST
ASHEBORO NC
27203-4702
US

V. Phone/Fax

Practice location:
  • Phone: 336-625-1319
  • Fax:
Mailing address:
  • Phone: 336-625-1319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7630
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number7650
License Number StateNC

VIII. Authorized Official

Name: DR. TIARRA R RORIE
Title or Position: PEDIATRIC DENTIST
Credential: D.D.S.
Phone: 336-625-1319