Cherryville Dental Clinic | |
106 N Mountain St Cherryville NC 28021-2941 | |
(704) 435-6916 | |
(704) 435-6811 |
Full Name | Cherryville Dental Clinic |
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Speciality | Dentist |
Location | 106 N Mountain St, Cherryville, North Carolina |
Authorized Official Name and Position | Paul Hunter Cloninger (OWNER) |
Authorized Official Contact | 7044356916 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cherryville Dental Clinic 1015 E Church St Cherryville NC 28021-2916 Ph: (704) 435-6916 | Cherryville Dental Clinic 106 N Mountain St Cherryville NC 28021-2941 Ph: (704) 435-6916 |
NPI Number | 1386828614 |
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Provider Enumeration Date | 12/21/2007 |
Last Update Date | 09/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386828614 | NPI | - | NPPES |
899013A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7118 (North Carolina) | Primary |