Provider Demographics
NPI:1538181771
Name:ALDERMAN, CANDY (DDS)
Entity type:Individual
Prefix:DR
First Name:CANDY
Middle Name:
Last Name:ALDERMAN
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 1:120 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-5210
Mailing Address - Country:US
Mailing Address - Phone:910-997-6663
Mailing Address - Fax:910-997-6664
Practice Address - Street 1:120 MALLARD LN
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5210
Practice Address - Country:US
Practice Address - Phone:910-997-6663
Practice Address - Fax:910-997-6664
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice