Healthcare Provider Details
I. General information
NPI: 1518559731
Provider Name (Legal Business Name): NATALIE ERSKINE DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2021
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5001 OLD FARM RD
DURHAM NC
27704-1407
US
IV. Provider business mailing address
PO BOX 71720
DURHAM NC
27722-1720
US
V. Phone/Fax
- Phone: 919-923-7674
- Fax:
- Phone: 919-923-7674
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NATALIE
C
ERSKINE
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 919-923-7674