Provider Demographics
NPI:1396198727
Name:CALMORE, CANAI FRANCES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CANAI
Middle Name:FRANCES
Last Name:CALMORE
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 1:3416 BRIARCLIFF DR
Mailing Address - Street 2:APT E
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5291
Mailing Address - Country:US
Mailing Address - Phone:919-622-1929
Mailing Address - Fax:
Practice Address - Street 1:3416 BRIARCLIFF DR
Practice Address - Street 2:APT E
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5291
Practice Address - Country:US
Practice Address - Phone:919-622-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice