Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 8459 | NC |
N | 1223D0001X | Dental Public Health | 8459 | NC |
N | 1223G0001X | General Practice | 3413-07 | MS |
N | 213EG0000X | General Practice | 3413-07 | MS |
NPI | 1356546857 |
---|---|
Provider Name | Dr. David Oliver |
First Address | Franklin, NC 28744-0846 |
Second Address | Franklin, NC 28734-7391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 12/09/2011 |