Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 3280 | NC |
NPI | 1356447312 |
---|---|
Provider Name | Dr. Wilson S Hoyle JR. |
First Address | Henderson, NC 27536 |
Second Address | Henderson, NC 27536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
94221 | (05) | NC |
U38844 | (02) |