Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 4162 | NC |
NPI | 1003979709 |
---|---|
Provider Name | Dr. Edgar Leland Webb |
First Address | Chapel Hill, NC 27514-9781 |
Second Address | Chapel Hill, NC 27599-7450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89-99025 | (05) | NC |