| Coastal Carolina Orthodontics | |
|
17 Office Park Dr Jacksonville NC 28546-3219 | |
| (910) 353-5234 | |
| (910) 353-1999 |
| Full Name | Coastal Carolina Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 17 Office Park Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Todd Alan Fischer (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 9103535234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Orthodontics 17 Office Park Dr Jacksonville NC 28546-3219 Ph: (910) 353-5234 | Coastal Carolina Orthodontics 17 Office Park Dr Jacksonville NC 28546-3219 Ph: (910) 353-5234 |
| NPI Number | 1053400853 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053400853 | NPI | - | NPPES |
| 890237A | Medicaid | NC | |
| 0237A | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 863135JACKSONVILLE | Other | UNITED CONCORDIA | |
| 526060MOREHEADCITY | Other | UNITED CONCORDIA | |
| 8902986 | Medicaid | NC | |
| 02986 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Henry M Best Iii Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Drive, Suite N, Jacksonville, NC 28546 Phone: 910-577-1315 Fax: 910-577-1078 | |
Thomas E & Kimberly M Morgan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3445 Henderson Dr Ext, Jacksonville, NC 28546 Phone: 910-347-1283 Fax: 910-347-2153 | |
Lane And Associates Xli Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Yopp Rd Ste 308, Jacksonville, NC 28540 Phone: 910-716-0101 Fax: 910-294-8874 | |
Coastal Carolina Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Office Park Dr, Jacksonville, NC 28546 Phone: 910-353-8200 | |
Stephen C Futrell Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Office Park Dr, Jacksonville, NC 28546 Phone: 910-353-8200 Fax: 910-353-2196 | |
Daniel Whitley Iii Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr Ste F, Jacksonville, NC 28546 Phone: 910-353-4242 Fax: 910-577-6421 |