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3070 11th Avenue Dr Se Hickory NC 28602-8336 | |
| (828) 695-5849 | |
| (828) 695-4410 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 3070 11th Avenue Dr Se, Hickory, North Carolina |
| Authorized Official Name and Position | Douglas W Urland (HEALTH DIRECTOR) |
| Authorized Official Contact | 8286955801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3070 11th Avenue Dr Se Hickory NC 28602-8336 Ph: (828) 695-5849 | 3070 11th Avenue Dr Se Hickory NC 28602-8336 Ph: (828) 695-5849 |
| NPI Number | 1154477925 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154477925 | NPI | - | NPPES |
| 3404426 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (North Carolina) | Primary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (North Carolina) | Primary |
Dr. William Straka Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 848 2nd St Ne, Hickory, NC 28601 Phone: 828-327-6070 Fax: 828-261-0116 | |
S. Ross Penland Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1781 Tate Blvd Se, Hickory, NC 28602 Phone: 828-855-3779 Fax: 828-855-3781 | |
John L Hyatt Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 4th Street Dr Ne, Hickory, NC 28601 Phone: 828-328-6161 | |
William M Kopp Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 4th Street Dr Ne, Hickory, NC 28601 Phone: 828-322-8710 Fax: 828-323-8381 | |
Allison Reese, Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Shiloh Church Rd, Hickory, NC 28601 Phone: 828-495-8256 | |