Provider Demographics
NPI:1831267624
Name:SLOOP, CELESTE H (DDS)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:H
Last Name:SLOOP
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 1:202 HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3512
Mailing Address - Country:US
Mailing Address - Phone:919-942-3566
Mailing Address - Fax:919-929-8424
Practice Address - Street 1:202 HENDERSON ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3512
Practice Address - Country:US
Practice Address - Phone:919-942-3566
Practice Address - Fax:919-929-8424
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC56051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC94327OtherBLUE CROSS BLUE SHIELD