Provider Demographics
NPI:1497969471
Name:PIERPAN, HENRY JOSEPH III
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JOSEPH
Last Name:PIERPAN
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14544 US HWY 17 NORTH
Mailing Address - Street 2:SUITE 10
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-1454
Mailing Address - Country:US
Mailing Address - Phone:910-270-1222
Mailing Address - Fax:910-270-1333
Practice Address - Street 1:14564 US HWY 17 NORTH
Practice Address - Street 2:SUITE 10
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443
Practice Address - Country:US
Practice Address - Phone:910-270-1222
Practice Address - Fax:910-270-1333
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice