Provider Demographics
NPI:1982827556
Name:SEARCY, GARDENIA ANNETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARDENIA
Middle Name:ANNETTE
Last Name:SEARCY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 N WINSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8762
Mailing Address - Country:US
Mailing Address - Phone:252-443-9097
Mailing Address - Fax:252-443-9097
Practice Address - Street 1:1108 N WINSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8762
Practice Address - Country:US
Practice Address - Phone:252-443-9097
Practice Address - Fax:252-443-9097
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051725122300000X
NC117771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist