Healthcare Provider Details

I. General information

NPI: 1801957733
Provider Name (Legal Business Name): TODD HUNTER RANKIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 MCCARTHY BLVD
NEW BERN NC
28562
US

IV. Provider business mailing address

608 MCCARTHY BLVD
NEW BERN NC
28562
US

V. Phone/Fax

Practice location:
  • Phone: 252-636-1900
  • Fax: 252-636-0318
Mailing address:
  • Phone: 252-636-1900
  • Fax: 252-636-0318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number5760
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: