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11 Vanderbilt Park Dr Asheville NC 28803-1700 | |
(828) 213-1740 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 11 Vanderbilt Park Dr, Asheville, North Carolina |
Authorized Official Name and Position | Tedrick Johnson (GROUP VICE PRESIDENT) |
Authorized Official Contact | 6153723755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 603366 Charlotte NC 28260-3366 Ph: (828) 213-1500 | 11 Vanderbilt Park Dr Asheville NC 28803-1700 Ph: (828) 213-1740 |
NPI Number | 1376013243 |
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Provider Enumeration Date | 12/04/2018 |
Last Update Date | 05/15/2020 |
Identifier | Type | State | Issuer |
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1376013243 | NPI | - | NPPES |
02CG9 | Other | NC | BC/BS NC |
1376013243 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Travis J. Calhoun, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Medical Park Dr, Suite B, Asheville, NC 28803 Phone: 828-277-2722 Fax: 828-277-2724 | |
Brent Barroso-bernier, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 627 Haywood Rd, Asheville, NC 28806 Phone: 828-255-8676 Fax: 828-252-1074 | |
Timothy C. Scanlan, Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Vanderbilt Park Dr Ste 110, Asheville, NC 28803 Phone: 828-254-4602 | |