| |
6720 Overhills Rd Spring Lake NC 28390-8872 | |
(910) 436-3194 | |
(910) 436-3195 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 6720 Overhills Rd, Spring Lake, North Carolina |
Authorized Official Name and Position | Sheila L Simmons (CEO) |
Authorized Official Contact | 9103640971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
40 Autumn Fern Trl Lillington NC 27546-5155 Ph: (910) 364-0971 | 6720 Overhills Rd Spring Lake NC 28390-8872 Ph: (910) 436-3194 |
NPI Number | 1811910706 |
---|---|
Provider Enumeration Date | 07/25/2006 |
Last Update Date | 04/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811910706 | NPI | - | NPPES |
344510D | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Carolinas Dentist Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Lillington Hwy, Spring Lake, NC 28390 Phone: 330-951-9153 | |