Provider Demographics
NPI:1396264826
Name:AUBREY E MYERS DDS PLLC
Entity type:Organization
Organization Name:AUBREY E MYERS DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-354-4688
Mailing Address - Street 1:8914 REED DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:EMERALD ISLE
Mailing Address - State:ND
Mailing Address - Zip Code:28594
Mailing Address - Country:US
Mailing Address - Phone:252-354-4688
Mailing Address - Fax:252-354-5337
Practice Address - Street 1:8914 REED DR
Practice Address - Street 2:SUITE C
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594
Practice Address - Country:US
Practice Address - Phone:252-354-4688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUBREY E MYERS DDS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-15
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty