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110 Shannon Vlg Louisburg NC 27549-2606 | |
| (919) 496-3388 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Shannon Vlg, Louisburg, North Carolina |
| Authorized Official Name and Position | Tiffany Nicole Reynolds (REGIONAL MANAGER) |
| Authorized Official Contact | 9194957043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 297 Louisburg NC 27549-0297 Ph: (919) 495-3388 | 110 Shannon Vlg Louisburg NC 27549-2606 Ph: (919) 496-3388 |
| NPI Number | 1982125936 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 06/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982125936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07005 (North Carolina) | Primary |
D H Lee Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Jolly St, Louisburg, NC 27549 Phone: 919-496-5734 Fax: 919-496-6688 | |
Lee C. Currin Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Shannon Vlg, Louisburg, NC 27549 Phone: 919-496-3033 Fax: 919-496-3033 | |
Lane And Associates Li Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 S Bickett Blvd, Louisburg, NC 27549 Phone: 919-729-1366 |