IndividualActive
Dianne Braddock, DA II
NPI 1154583813 · Dental Assistant · Statesville, NC
Provider details
- NPI number
- 1154583813
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DA II
- Sex
- Female
- Sole proprietor
- No
- License
- 126800000X (NC)
Specialties & taxonomies
Dental Providers
Practice location
318 Turnersburg Hwy
Statesville, NC 28625-2798
Phone: (704) 878-5300
Approximate (ZIP-level) locationGet directions
Mailing address
318 Turnersburg Hwy
Statesville, NC 28625-2798
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.