Provider Demographics
NPI:1467479493
Name:EPPS, CONSTANCE ARNETTRES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:ARNETTRES
Last Name:EPPS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:CONSTANCE
Other - Middle Name:ARNETTRES
Other - Last Name:GOODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2417 WILDCREST CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9227
Mailing Address - Country:US
Mailing Address - Phone:336-845-7734
Mailing Address - Fax:336-887-2784
Practice Address - Street 1:501 E GREEN DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-6707
Practice Address - Country:US
Practice Address - Phone:336-845-7733
Practice Address - Fax:336-845-1368
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC46341223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU37852Medicare UPIN