| Organization Name: | VALERIE A. WYNNE-HALL, D.D.S., M.P.H., P.A. |
| NPI Number: | 1144492950 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VALERIE ALLAYNE WYNNE-HALL (OWNER/DENTIST) |
| Mailing Address: | 4146 S Main St Hope Mills |
| State: | NC US |
| Postal Code: | 283482325 |
| Phone Number: | 9104247665 |
| Fax Number: | 9104261816 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |