| Douglas F. Degroote, Dds | |
|
2250 Shipyard Blvd Ste 15 Wilmington NC 28403-8070 | |
| (910) 452-1700 | |
| (910) 452-3671 |
| Full Name | Douglas F. Degroote, Dds |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2250 Shipyard Blvd Ste 15, Wilmington, North Carolina |
| Authorized Official Name and Position | Douglas Forrest Degroote (ORAL SURGEON) |
| Authorized Official Contact | 9104521700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas F. Degroote, Dds 2250 Shipyard Blvd Ste 15 Wilmington NC 28403-8070 Ph: (910) 452-1700 | Douglas F. Degroote, Dds 2250 Shipyard Blvd Ste 15 Wilmington NC 28403-8070 Ph: (910) 452-1700 |
| NPI Number | 1811174352 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811174352 | NPI | - | NPPES |
| 8992089 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4050 (North Carolina) | Primary |
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