Provider Demographics
NPI:1568229631
Name:DAP MEDICAL
Entity Type:Organization
Organization Name:DAP MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONTANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-290-4054
Mailing Address - Street 1:265 EASTCHESTER DR. SUITE 109 #1029
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4839
Mailing Address - Country:US
Mailing Address - Phone:336-543-0944
Mailing Address - Fax:
Practice Address - Street 1:517B NEWTON PL
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4839
Practice Address - Country:US
Practice Address - Phone:336-543-0944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment