Healthcare Provider Details

I. General information

NPI: 1275388753
Provider Name (Legal Business Name): ROSEMARY CARR PRUNEAU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 NEUSE BLVD # A
NEW BERN NC
28562-2838
US

IV. Provider business mailing address

1024 ANCHORS BEND WAY
WILMINGTON NC
28411-8009
US

V. Phone/Fax

Practice location:
  • Phone: 252-672-0066
  • Fax:
Mailing address:
  • Phone: 910-465-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14660
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: