|
| |
|
411 E Statesville Ave Mooresville NC 28115-2533 | |
| (704) 663-3300 | |
| (704) 663-0188 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 411 E Statesville Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Jimmie Anderson (PRESIDENT) |
| Authorized Official Contact | 7046633300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
411 E Statesville Ave Mooresville NC 28115-2533 Ph: (704) 663-3300 | 411 E Statesville Ave Mooresville NC 28115-2533 Ph: (704) 663-3300 |
| NPI Number | 1902959646 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902959646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6793 (North Carolina) | Primary |
Rivera & Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Statesville Ave, Mooresville, NC 28115 Phone: 704-816-1401 | |
Drs Groody And Reimels Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Rocky River Rd, Mooresville, NC 28115 Phone: 704-782-2630 | |
K. Jasinski, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Kistler Farm Rd Ste 5, Mooresville, NC 28115 Phone: 980-528-4180 Fax: 980-528-4178 | |