Healthcare Provider Details

I. General information

NPI: 1104508761
Provider Name (Legal Business Name): LAURA FOLK BEALE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA LEE FOLK DMD

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W LEXINGTON AVE STE 101
HIGH POINT NC
27262-2599
US

IV. Provider business mailing address

200 W LEXINGTON AVE STE 101
HIGH POINT NC
27262-2599
US

V. Phone/Fax

Practice location:
  • Phone: 336-884-0800
  • Fax:
Mailing address:
  • Phone: 336-884-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13692
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: