Petree, Lori Johnson

Petree, Lori Johnson is an individual health care provider with primary practice located at 1213 N Main St , Fuquay Varina NC 27526-2616. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Petree, Lori Johnson can be contacted via phone (910) 814-2944.

Contact Information

Primary practice address
1213 N Main St Fuquay Varina NC 27526-2616
Phone: (910) 814-2944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7541 North Carolina
Dental Providers / General Practice 1223G0001X D011603 Arizona

Profile Details

NPI number 1700938495
LBN Legal business name Petree, Lori Johnson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Feb 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700938495 NPPES
North Carolina MEDICAID 89902H2

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