Individual provider · Type 1 NPI

Samuel G. Koonce Jr., DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Whiteville, NC

NPI number 1720121718 Active

Practice location

900 Spivey Rd
Whiteville, NC 28472

Fax (910) 642-4354

Mailing address

PO Box 965, 900 Spivey Rd
Whiteville, NC 28472-0965

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X4365 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1720121718

Samuel G. Koonce Jr., DDS's National Provider Identifier is 1720121718, issued on Feb 15, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Whiteville, NC. The record was last updated on Jul 8, 2007.