| Dental Transformations-hertford | |
|
212 Ainsley Ave Hertford NC 27944-1400 | |
| (252) 335-4341 | |
| Not Available |
| Full Name | Dental Transformations-hertford |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 Ainsley Ave, Hertford, North Carolina |
| Authorized Official Name and Position | Kaleb C Thompson (OWNER) |
| Authorized Official Contact | 2485130259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Transformations-hertford 408 E Colonial Ave Elizabeth City NC 27909-4363 Ph: (252) 335-4341 | Dental Transformations-hertford 212 Ainsley Ave Hertford NC 27944-1400 Ph: (252) 335-4341 |
| NPI Number | 1760247480 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760247480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Jack L. Boone, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Ainsley Ave, Hertford, NC 27944 Phone: 252-426-5585 Fax: 252-426-5766 | |
Douglas W Perry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Perry Long Rd, Hertford, NC 27944 Phone: 252-426-9140 Fax: 252-426-1270 |