Courtney Mitchell, Iii Dds Pa | |
2500 N. Herritage St. Suite A Kinsten NC 28501 | |
(252) 522-4313 | |
(252) 522-5777 |
Full Name | Courtney Mitchell, Iii Dds Pa |
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Speciality | Dentist - General Practice |
Location | 2500 N. Herritage St., Kinsten, North Carolina |
Authorized Official Name and Position | Courtney Mitchell (DENTIST) |
Authorized Official Contact | 2525224313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Courtney Mitchell, Iii Dds Pa 2500 N Herritage St. Suite A Kinsten NC 28501 Ph: (252) 522-4313 | Courtney Mitchell, Iii Dds Pa 2500 N. Herritage St. Suite A Kinsten NC 28501 Ph: (252) 522-4313 |
NPI Number | 1023459757 |
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Provider Enumeration Date | 07/10/2013 |
Last Update Date | 07/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023459757 | NPI | - | NPPES |
8995998 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4376 (North Carolina) | Primary |