Provider Demographics
NPI:1518306331
Name:KEMP, JAYME (DMD)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 RAWLS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-6033
Mailing Address - Country:US
Mailing Address - Phone:919-639-2272
Mailing Address - Fax:919-639-8654
Practice Address - Street 1:15 RAWLS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6033
Practice Address - Country:US
Practice Address - Phone:919-639-2272
Practice Address - Fax:919-639-8654
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9552122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist