|
| |
|
7841 Alexander Promenade Pl Suite 100 Raleigh NC 27617-1913 | |
| (919) 354-5400 | |
| (919) 354-5401 |
| Full Name | |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 7841 Alexander Promenade Pl, Raleigh, North Carolina |
| Authorized Official Name and Position | Prasad Veera Vasamsetti (OWNER/ MANAGER) |
| Authorized Official Contact | 9193545400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7841 Alexander Promenade Pl Suite 100 Raleigh NC 27617-1913 Ph: (919) 354-5400 | 7841 Alexander Promenade Pl Suite 100 Raleigh NC 27617-1913 Ph: (919) 354-5400 |
| NPI Number | 1134468564 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134468564 | NPI | - | NPPES |
| 5906614 | Medicaid | NC | |
| 002746701 | Other | NC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 5906614 (North Carolina) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
Henry H Hancock Iii Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4505 Fair Meadows Ln, Suite 220, Raleigh, NC 27607 Phone: 919-781-9905 Fax: 919-782-5747 | |
Catherine H. Cunningham, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Rodessa Run, Raleigh, NC 27607 Phone: 919-593-1810 | |
Smith & Tart, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Northway Ct, Raleigh, NC 27615 Phone: 919-847-6000 Fax: 919-847-3159 | |
Steven H. Davis, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2810 Wakefield Pines Dr, Suite 100, Raleigh, NC 27614 Phone: 919-488-2194 Fax: 919-488-2197 | |
Sunrise Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Spring Forest Rd, Raleigh, NC 27615 Phone: 919-878-0055 Fax: 919-878-0096 | |
Dr James J Chun Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3803-b Computer Dr, Suite #202, Raleigh, NC 27609 Phone: 919-787-8779 Fax: 919-787-4156 |