| Drs Mabe & Mabe Pa | |
|
1218 N Main Street Walnut Cove NC 27052 | |
| (336) 591-4303 | |
| (336) 591-4516 |
| Full Name | Drs Mabe & Mabe Pa |
|---|---|
| Speciality | Dentist |
| Location | 1218 N Main Street, Walnut Cove, North Carolina |
| Authorized Official Name and Position | Tim Mabe (PRESIDENT) |
| Authorized Official Contact | 3365914303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Mabe & Mabe Pa Po Box 648 Walnut Cove NC 27052 Ph: (336) 591-4303 | Drs Mabe & Mabe Pa 1218 N Main Street Walnut Cove NC 27052 Ph: (336) 591-4303 |
| NPI Number | 1093726929 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093726929 | NPI | - | NPPES |
| 8902103 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 104509 (North Carolina) | Primary |
| 122300000X | Dentist | 104574 (North Carolina) | Secondary |