Healthcare Provider Details

I. General information

NPI: 1215121017
Provider Name (Legal Business Name): NATALIE CECILE GIVANS D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 09/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E GREEN DR
HIGH POINT NC
27260-6707
US

IV. Provider business mailing address

118 TADWORTH CT.
MEBANE NC
27302-8673
US

V. Phone/Fax

Practice location:
  • Phone: 336-845-7733
  • Fax: 336-845-1368
Mailing address:
  • Phone: 919-337-0108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8483
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number8483
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: