David E Thome Dds Pllc L1 | |
5641 Poplar Tent Rd Ste 201 Concord NC 28027-7588 | |
(704) 730-8394 | |
Not Available |
Full Name | David E Thome Dds Pllc L1 |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 5641 Poplar Tent Rd Ste 201, Concord, North Carolina |
Authorized Official Name and Position | Lucenda Harris (CREDENTIALING AND CONTRACTING COORD) |
Authorized Official Contact | 7043619508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David E Thome Dds Pllc L1 8604 Cliff Cameron Dr Ste 170 Charlotte NC 28269-8508 Ph: (704) 361-9508 | David E Thome Dds Pllc L1 5641 Poplar Tent Rd Ste 201 Concord NC 28027-7588 Ph: (704) 730-8394 |
NPI Number | 1326746355 |
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Provider Enumeration Date | 02/20/2023 |
Last Update Date | 02/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326746355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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