| Cataloochee Dental Group | |
|
103 Haywood Park Dr Clyde NC 28721-4405 | |
| (828) 627-1050 | |
| (828) 627-1056 |
| Full Name | Cataloochee Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 103 Haywood Park Dr, Clyde, North Carolina |
| Authorized Official Name and Position | Renee S. Benge (CDPMA) |
| Authorized Official Contact | 8286271050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cataloochee Dental Group 103 Haywood Park Dr Clyde NC 28721-4405 Ph: (828) 627-1050 | Cataloochee Dental Group 103 Haywood Park Dr Clyde NC 28721-4405 Ph: (828) 627-1050 |
| NPI Number | 1023037264 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 1850608472 |
|---|---|
| Medicare Enrollment ID | O20150915001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023037264 | NPI | - | NPPES |
| 5902433 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Philip R Fisher |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851313027 PECOS PAC ID: 8729395371 Enrollment ID: I20150915002833 |
Dr. N. Ross Irvine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Haywood Park Dr, Clyde, NC 28721 Phone: 828-627-2676 | |
County Of Haywood Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Paragon Parkway, Suite 700, Clyde, NC 28721 Phone: 828-452-6701 Fax: 828-452-6619 | |
Teague & Van Praag, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Jones Cove Rd, Clyde, NC 28721 Phone: 828-627-9285 Fax: 828-627-2964 | |
Shawn R. Kennedy Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Haywood Park Dr, Clyde, NC 28721 Phone: 828-627-1999 Fax: 828-627-1998 | |
C E Fultz Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 Nelson St, Clyde, NC 28721 Phone: 828-627-9282 | |
Haywood County Hhsa-dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Paragon Parkway, Suite 700, Clyde, NC 28721 Phone: 828-452-6701 Fax: 828-452-6619 |