OrganizationHenry J Pierpan Iii, Dds, PaDentistDental ProvidersPractice Address20 Office Park Dr, Jacksonville, NC 28546-7325(910) 353-3550PECOS EnrollmentBased on the most recent information from CMS, provider Henry J Pierpan Iii, Dds, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548590110Provider TypeOrganizationFull NameHenry J Pierpan Iii, Dds, PaSubpartNoEnumeration Date1/5/2010Last Updated1/5/2010Contact InformationPractice LocationPractice Address20 Office Park Dr, Jacksonville, NC 28546-7325Phone(910) 353-3550FaxUnlisted FaxMailing LocationMailing Address20 Office Park Dr, Jacksonville, NC 28546-7325PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNamePierpan, Monica (Secretary)Phone(910) 353-3551Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense6254North Carolina