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900 Old Winston Rd Suite 204 Kernersville NC 27284-9964 | |
| (336) 992-2123 | |
| (336) 992-2330 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 900 Old Winston Rd, Kernersville, North Carolina |
| Authorized Official Name and Position | Ronda A Winters (OFFICE MANAGER) |
| Authorized Official Contact | 3369922123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
900 Old Winston Rd Suite 204 Kernersville NC 27284-9964 Ph: (336) 992-2123 | 900 Old Winston Rd Suite 204 Kernersville NC 27284-9964 Ph: (336) 992-2123 |
| NPI Number | 1598013781 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598013781 | NPI | - | NPPES |
| 5907301 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2007-00937 (North Carolina) | Primary |
Robert Rosenthal Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Broad St, Kernersville, NC 27284 Phone: 336-996-6551 Fax: 336-851-1737 | |
Morse & Doyle, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 Hopkins Rd, Kernersville, NC 27284 Phone: 336-996-4400 | |
Jesse A. Grimm,dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Old Winston Road, Suite 101, Kernersville, NC 27284 Phone: 336-996-7770 | |