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101 Sleepy Dr Suite 102 Spring Lake NC 28390-3317 | |
| (910) 497-2969 | |
| (910) 497-6505 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Sleepy Dr, Spring Lake, North Carolina |
| Authorized Official Name and Position | Jessica Johnston (OPERATIONS MANAGER) |
| Authorized Official Contact | 7045221550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5821 Fairview Rd Suite 220 Charlotte NC 28209-5601 Ph: (704) 522-1550 | 101 Sleepy Dr Suite 102 Spring Lake NC 28390-3317 Ph: (910) 497-2969 |
| NPI Number | 1366717530 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366717530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4305 (North Carolina) | Primary |
Carolinas Dentist Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Lillington Hwy, Spring Lake, NC 28390 Phone: 330-951-9153 | |