| Apphealth Dental-sbhc | |
|
255 Northwest Ln Warrensville NC 28693-9244 | |
| (336) 384-1625 | |
| Not Available |
| Full Name | Apphealth Dental-sbhc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 Northwest Ln, Warrensville, North Carolina |
| Authorized Official Name and Position | Daryl Beth Lovette (HEALTH DIRECTOR) |
| Authorized Official Contact | 8282644995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apphealth Dental-sbhc Po Box 208 Jefferson NC 28640-0208 Ph: (336) 246-9449 | Apphealth Dental-sbhc 255 Northwest Ln Warrensville NC 28693-9244 Ph: (336) 384-1625 |
| NPI Number | 1134670607 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 12/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134670607 | NPI | - | NPPES |
| 1285081562 | Other | NC | NPI FOR MEDICAL CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10356 (North Carolina) | Primary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary |