Provider Demographics
NPI:1831261346
Name:AUCOIN, JUDE DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:JUDE
Middle Name:DAVID
Last Name:AUCOIN
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 1:2707 PINEDALE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2019
Mailing Address - Country:US
Mailing Address - Phone:336-282-4012
Mailing Address - Fax:336-282-1196
Practice Address - Street 1:2707 PINEDALE RD
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2019
Practice Address - Country:US
Practice Address - Phone:336-282-4012
Practice Address - Fax:336-282-1196
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC59971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice