Provider Demographics
NPI:1003869496
Name:HENRY M BEST III DDS PLLC
Entity Type:Organization
Organization Name:HENRY M BEST III DDS PLLC
Other - Org Name:HENRY M BEST III DDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEST
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-577-1315
Mailing Address - Street 1:200 DOCTORS DRIVE
Mailing Address - Street 2:SUITE N
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546
Mailing Address - Country:US
Mailing Address - Phone:910-577-1315
Mailing Address - Fax:910-577-1078
Practice Address - Street 1:200 DOCTORS DRIVE
Practice Address - Street 2:SUITE N
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546
Practice Address - Country:US
Practice Address - Phone:910-577-1315
Practice Address - Fax:910-577-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
46111223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty