Provider Demographics
NPI:1053410092
Name:TURNER, MINDY MORGAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MINDY
Middle Name:MORGAN
Last Name:TURNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9447 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:OAKBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28129-8916
Mailing Address - Country:US
Mailing Address - Phone:704-485-4984
Mailing Address - Fax:
Practice Address - Street 1:1000 N 1ST ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-2833
Practice Address - Country:US
Practice Address - Phone:704-986-3845
Practice Address - Fax:704-986-3847
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72351223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902107Medicaid
NC9015KOtherBLUE CROSS BLUESHIELD