Provider Demographics
NPI:1992119275
Name:GEORGE, CHELSEA (DDS)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:GEORGE
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 1:101 STEVENS MEMORIAL PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-2372
Mailing Address - Country:US
Mailing Address - Phone:919-736-4830
Mailing Address - Fax:919-736-7038
Practice Address - Street 1:101 STEVENS MEMORIAL PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-2372
Practice Address - Country:US
Practice Address - Phone:919-736-4830
Practice Address - Fax:919-736-7038
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice