Baxter B. Sapp, Jr, DDS & HT Macon Sapp, DDS, PA

Organization Active NPI General Practice Dentistry · Durham, NC

NPI 1376569624 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1376569624
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2106 (NC)
Legal business name
BAXTER B. SAPP, JR, DDS & HT MACON SAPP, DDS, PA
Practice address
3612 Shannon Rd
Suite 205
Durham, NC 27707-6329
Phone
(919) 489-9171
Fax
(919) 493-1088
NPI assigned
Jul 13, 2006
Organization subpart
No

Authorized official

Name
Dr. Hal Thomas Macon Sapp
Title
DDS/Vice President
Phone
(919) 489-9171

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3612 Shannon Rd
Ste 205
Durham, NC 27707
Phone (919) 489-9171

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 2106 NC Yes

Addresses

Primary practice location

3612 Shannon Rd
Suite 205
Durham, NC 27707-6329

Mailing address

3612 Shannon Rd
Suite 205
Durham, NC 27707-6329
Phone (919) 489-9171

Other providers in Durham, NC

All providers in Durham, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.