|
| |
|
4164 Clemmons Rd Clemmons NC 27012-7520 | |
| (336) 766-7966 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4164 Clemmons Rd, Clemmons, North Carolina |
| Authorized Official Name and Position | Andrew Wayne Kelly (MANAGER/DENTIST) |
| Authorized Official Contact | 3367667966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4164 Clemmons Rd Clemmons NC 27012-7520 Ph: (336) 766-7966 | 4164 Clemmons Rd Clemmons NC 27012-7520 Ph: (336) 766-7966 |
| NPI Number | 1700203247 |
|---|---|
| Provider Enumeration Date | 03/22/2014 |
| Last Update Date | 03/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700203247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7350 (North Carolina) | Primary |
Kostelic & Associates, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2265 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012 Phone: 336-577-1583 | |
Sharon L. Reid, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Stadium Oaks Drive, Suite A, Clemmons, NC 27012 Phone: 336-778-2477 Fax: 336-778-2437 | |
University Dental Associates Clemmons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 Towncenter Dr, Suite 130, Clemmons, NC 27012 Phone: 704-549-1509 | |
Paul D. Nifong Jr. Ddspa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3624 Clemmons Road, Clemmons, NC 27012 Phone: 336-766-6457 | |
David Hong Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3624 Clemmons Rd, Clemmons, NC 27012 Phone: 336-766-6457 |