| Charles A Deigert Dds | |
|
2881 Richlands Hwy # Hyw Jacksonville NC 28540-3672 | |
| (910) 346-6696 | |
| Not Available |
| Full Name | Charles A Deigert Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2881 Richlands Hwy # Hyw, Jacksonville, North Carolina |
| Authorized Official Name and Position | Charles Aaron Deigert (OWNER) |
| Authorized Official Contact | 9103466696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Deigert Dds 2881 Richlands Hwy # Hyw Jacksonville NC 28540-3672 Ph: (252) 346-6696 | Charles A Deigert Dds 2881 Richlands Hwy # Hyw Jacksonville NC 28540-3672 Ph: (910) 346-6696 |
| NPI Number | 1841478245 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841478245 | NPI | - | NPPES |
| 89902PY | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NC7574 (North Carolina) | Primary |
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