NPI 1447390117

Jeanna Raye

Practitioner Dental Hygienist Winston Salem, NC

Practice location

Address: 501 N Cleveland Ave STE 1, Winston Salem, NC 27101-4366
Phone: (336) 631-2330
Mailing address: 325 Pine Needles Dr, Winston Salem, NC 27104-3535

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 4035 (NC)

Other Dental Hygienist providers in North Carolina →

Registry record

NPI: 1447390117
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.