Provider Demographics
NPI:1225216419
Name:DAUNE C. HUMPHREY, D.D.S.
Entity Type:Organization
Organization Name:DAUNE C. HUMPHREY, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:DAUNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-637-8111
Mailing Address - Street 1:PO BOX 12795
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2795
Mailing Address - Country:US
Mailing Address - Phone:252-637-8111
Mailing Address - Fax:252-637-9840
Practice Address - Street 1:1916 S GLENBURNIE RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5226
Practice Address - Country:US
Practice Address - Phone:252-637-8111
Practice Address - Fax:252-637-9840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC6044122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty