Provider Demographics
NPI:1205833324
Name:LUTINS, NEIL D (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:D
Last Name:LUTINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3800 ROUND HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-3169
Mailing Address - Country:US
Mailing Address - Phone:336-282-3662
Mailing Address - Fax:336-275-2078
Practice Address - Street 1:301 E WENDOVER AVE
Practice Address - Street 2:315
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1230
Practice Address - Country:US
Practice Address - Phone:336-379-8377
Practice Address - Fax:336-275-2078
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50941223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics