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6781 Parker Farm Dr Suite 100 Wilmington NC 28405-3160 | |
| (910) 795-2511 | |
| (910) 679-4835 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6781 Parker Farm Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Allison Cavenaugh Eggleston (OWNER, PEDIATRIC DENTIST) |
| Authorized Official Contact | 9105203319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6781 Parker Farm Dr Suite 100 Wilmington NC 28405-3160 Ph: (910) 795-2511 | 6781 Parker Farm Dr Suite 100 Wilmington NC 28405-3160 Ph: (910) 795-2511 |
| NPI Number | 1417397365 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417397365 | NPI | - | NPPES |
| 5921214 | Medicaid | NC | |
| 1285863266 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8836 (North Carolina) | Primary |
Danielle M. Gough, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Gallery Park Boulevard, Wilmington, NC 28412 Phone: 910-218-1222 Fax: 844-266-2407 | |
Richard Alan Reamer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 Medical Center Drive, Suite #101, Wilmington, NC 28401 Phone: 910-762-0355 Fax: 910-342-9211 | |
Picklesimer & Plasky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713 College Acres Dr, Wilmington, NC 28403 Phone: 910-799-2238 Fax: 910-392-3414 | |
Douglas L. Fowler, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 N College Rd, Wilmington, NC 28405 Phone: 910-790-3836 Fax: 910-790-5026 | |