Provider Demographics
NPI:1699971226
Name:LORCH, JEFFREY HUGHES (DMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HUGHES
Last Name:LORCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 PARK PL E STE 101
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-4362
Mailing Address - Country:US
Mailing Address - Phone:828-884-2144
Mailing Address - Fax:828-884-2192
Practice Address - Street 1:42 PARK PLACE E
Practice Address - Street 2:STE 101
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712
Practice Address - Country:US
Practice Address - Phone:828-884-2144
Practice Address - Fax:828-884-2192
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17551122300000X
NC9630122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty