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 today at 11:37 AM.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