Alan A Godel & Justin P Hannon | |
1228 W Roosevelt Blvd Monroe NC 28110-3383 | |
(704) 218-2500 | |
Not Available |
Full Name | Alan A Godel & Justin P Hannon |
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Speciality | Dentist |
Location | 1228 W Roosevelt Blvd, Monroe, North Carolina |
Authorized Official Name and Position | Alan A Godel (OWNER) |
Authorized Official Contact | 7042182500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alan A Godel & Justin P Hannon 1228 W Roosevelt Blvd Monroe NC 28110-3383 Ph: (704) 218-2500 | Alan A Godel & Justin P Hannon 1228 W Roosevelt Blvd Monroe NC 28110-3383 Ph: (704) 218-2500 |
NPI Number | 1962861278 |
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Provider Enumeration Date | 02/15/2016 |
Last Update Date | 02/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962861278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7564 (North Carolina) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9056 (North Carolina) | Secondary |
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