Provider Demographics
NPI:1386437069
Name:BERNAL GUARIN, LAURA MELISSA (DDS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MELISSA
Last Name:BERNAL GUARIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CARRAWAY XING STE 5401
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7120
Mailing Address - Country:US
Mailing Address - Phone:984-202-0373
Mailing Address - Fax:
Practice Address - Street 1:3101 EDWARDS MILL RD STE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5303
Practice Address - Country:US
Practice Address - Phone:919-297-2396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14143122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist