Douglas A Tutterow Dds Pa | |
4680 Yadkinville Rd Pfafftown NC 27040-8622 | |
(336) 924-9555 | |
(336) 924-3168 |
Full Name | Douglas A Tutterow Dds Pa |
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Speciality | Dentist - General Practice |
Location | 4680 Yadkinville Rd, Pfafftown, North Carolina |
Authorized Official Name and Position | Douglas Alan Tutterow (PRESIDENT) |
Authorized Official Contact | 3369249555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Douglas A Tutterow Dds Pa 4680 Yadkinville Rd Pfafftown NC 27040-8622 Ph: (336) 924-9555 | Douglas A Tutterow Dds Pa 4680 Yadkinville Rd Pfafftown NC 27040-8622 Ph: (336) 924-9555 |
NPI Number | 1306980362 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
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1306980362 | NPI | - | NPPES |
4998654 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5245 (North Carolina) | Primary |