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General NPI Number Information
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NPI Number | 1902964018
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Entity Type | Organization
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Legal Business Name | LYERLY & ASSOCIATES DDS PA
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5980 US HWY 52
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City | SALISBURY
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State | NC
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Zip | 28146-8138
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Country | US
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Telephone | 704-279-5400
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Fax | 704-279-2476
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Provider Business Mailing Address
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Address Line | PO BOX 328
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City | GRANITE QUARRY
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State | NC
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Zip | 28072-0328
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Country | US
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Telephone | 704-279-5400
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Fax | 704-279-2476
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Authorized Official
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Title or Position | PRESIDENT LYERLY & ASSOCIATES DDS P
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Name | DR. ALAN RAY LYERLY
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Credential | DDS
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Telephone | 704-279-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3070
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7537
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License Number State | NC
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