| Dental Center Of The Carolinas | |
|
4550 Country Club Rd Winston Salem NC 27104-3518 | |
| (333) 766-7966 | |
| (877) 840-4367 |
| Full Name | Dental Center Of The Carolinas |
|---|---|
| Speciality | Dentist |
| Location | 4550 Country Club Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Andrew Wayne Kelly (OWNER/ MANAGER) |
| Authorized Official Contact | 3367667966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of The Carolinas 137 N Hiddenbrooke Dr Advance NC 27006-7299 Ph: (336) 766-7966 | Dental Center Of The Carolinas 4550 Country Club Rd Winston Salem NC 27104-3518 Ph: (333) 766-7966 |
| NPI Number | 1932611092 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 7012344609 |
|---|---|
| Medicare Enrollment ID | O20200220000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932611092 | NPI | - | NPPES |
| 1992888242 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07350 (North Carolina) | Primary |
| Provider Name | Andrew Wayne Kelly |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992888242 PECOS PAC ID: 0749617330 Enrollment ID: I20200220000874 |
Charlotte Broughton, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Lockland Ave, Winston Salem, NC 27103 Phone: 336-722-7534 Fax: 336-722-4518 | |
Lisa R. Gaither Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Hanes Mall Blvd, Winston Salem, NC 27103 Phone: 828-697-2826 | |
West Edge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5595 Robin Lark Cir, Winston Salem, NC 27106 Phone: 743-999-7937 Fax: 743-999-7256 | |
Cuthrell, Dds And Mochnick, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Westgate Center Dr Ste B, Winston Salem, NC 27103 Phone: 336-765-3712 Fax: 336-760-0667 | |
Andrew C Geer Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-922-2542 Fax: 336-922-1547 | |
Alterman & Dhillon Piedmont, Pplc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 E Hanes Mill Rd, Winston Salem, NC 27105 Phone: 336-450-2077 | |
Spangler, Lambert And Lipp, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 N Peace Haven Rd, Winston Salem, NC 27104 Phone: 336-768-1332 Fax: 336-768-9470 |