| Dental | |
|
1811 E Innes St Salisbury NC 28146-6030 | |
| (704) 216-8777 | |
| (704) 638-3129 |
| Full Name | Dental |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1811 E Innes St, Salisbury, North Carolina |
| Authorized Official Name and Position | Leonard L. Wood (HEALTH DIRECTOR) |
| Authorized Official Contact | 7042168871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 1811 E Innes St Salisbury NC 28146-6030 Ph: (704) 216-8777 | Dental 1811 E Innes St Salisbury NC 28146-6030 Ph: (704) 216-8777 |
| NPI Number | 1720137060 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720137060 | NPI | - | NPPES |
| 3404380 | Medicaid | NC | |
| 3404498 | Medicaid | NC | |
| 0723L | Other | NC | BLUECROSSBLUESHIELD OF NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (North Carolina) | Primary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Todd R. Tibbs, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1933 Jake Alexander Blvd. West, Suite 203, Salisbury, NC 28147 Phone: 704-633-1799 | |
James K. Jolly, D.d.s, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Salisbury, NC 28146 Phone: 704-633-7117 Fax: 704-633-4637 | |
Nicholas James Penna D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 Brenner Ave, Salisbury, NC 28144 Phone: 704-633-5942 Fax: 704-639-0237 | |
Anderson Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Suite 2, Salisbury, NC 28146 Phone: 704-636-3611 Fax: 704-636-3694 | |
David E Thome Dds Pllc L1 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Mahaley Ave Ste B, Salisbury, NC 28144 Phone: 704-637-5506 | |
J David Boyd Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 644 Statesville Blvd, Ste #4, Salisbury, NC 28144 Phone: 704-636-1533 Fax: 704-636-5514 | |
Hetal Amin-patel, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Innes St, Salisbury, NC 28144 Phone: 704-633-2612 Fax: 704-314-0740 |