| A.r.bhagwandass.dmd.pa | |
|
50 Anna Louise Ln Roanoke Rapids NC 27870-8648 | |
| (252) 537-4141 | |
| Not Available |
| Full Name | A.r.bhagwandass.dmd.pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 50 Anna Louise Ln, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Anishwar R Bhagwandass (PRESIDENT) |
| Authorized Official Contact | 2525374141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.r.bhagwandass.dmd.pa 50 Anna Louise Ln Roanoke Rapids NC 27870-8648 Ph: (252) 537-4141 | A.r.bhagwandass.dmd.pa 50 Anna Louise Ln Roanoke Rapids NC 27870-8648 Ph: (252) 537-4141 |
| NPI Number | 1104012269 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104012269 | NPI | - | NPPES |
| 8990719 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5794 (North Carolina) | Primary |
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Roanoke Rapids Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Anna Louise Ln, Roanoke Rapids, NC 27870 Phone: 252-537-5769 | |
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