Healthcare Provider Details

I. General information

NPI: 1467479493
Provider Name (Legal Business Name): CONSTANCE ARNETTRES EPPS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS CONSTANCE ARNETTRES GOODEN

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/08/2007
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

2417 WILDCREST CT
HIGH POINT NC
27265-9227
US

V. Phone/Fax

Practice location:
  • Phone: 336-845-7733
  • Fax: 336-845-1368
Mailing address:
  • Phone: 336-845-7734
  • Fax: 336-887-2784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number4634
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: