Individual provider · Type 1 NPI

Henry Matthews Kidd Jr., DDS

Student in an Organized Health Care Education/Training Program · Raleigh, NC

NPI number 1932725017 Active

Practice location

613 Glen Eden Dr
Raleigh, NC 27612-5002

Call (919) 624-1186 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932725017

Henry Matthews Kidd Jr., DDS's National Provider Identifier is 1932725017, issued on Jun 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 21, 2021.