Provider Demographics
NPI:1245215177
Name:LLOYD, ASHLEY H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:H
Last Name:LLOYD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 ST. MARYS ST.
Mailing Address - Street 2:SUITE B30
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605
Mailing Address - Country:US
Mailing Address - Phone:919-828-1001
Mailing Address - Fax:919-615-3509
Practice Address - Street 1:1330 ST. MARYS ST
Practice Address - Street 2:SUITE B30
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605
Practice Address - Country:US
Practice Address - Phone:919-828-1001
Practice Address - Fax:919-828-1001
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6584122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC183639OtherUNITED CONCORDIA ID#