Provider Demographics
NPI:1609806074
Name:PATTERSON, DAVID STUART (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:STUART
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2879 ROB SHEPARD DR.
Mailing Address - Street 2:POB 369
Mailing Address - City:ALAMANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27201
Mailing Address - Country:US
Mailing Address - Phone:336-226-3368
Mailing Address - Fax:336-226-9080
Practice Address - Street 1:2879 ROB SHEPARD DRIVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215
Practice Address - Country:US
Practice Address - Phone:336-226-9078
Practice Address - Fax:336-226-9080
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice