| About Face Collaborative | |
|
4414 Lake Boone Trl Ste 111 Raleigh NC 27607-7514 | |
| (804) 387-7002 | |
| Not Available |
| Full Name | About Face Collaborative |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4414 Lake Boone Trl Ste 111, Raleigh, North Carolina |
| Authorized Official Name and Position | Jasmine R Elmore (PRESIDENT/CEO) |
| Authorized Official Contact | 2529165875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| About Face Collaborative 4049 Landover Peak Pl Raleigh NC 27616-9796 Ph: (252) 916-5875 | About Face Collaborative 4414 Lake Boone Trl Ste 111 Raleigh NC 27607-7514 Ph: (804) 387-7002 |
| NPI Number | 1093331209 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093331209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Henry H Hancock Iii Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4505 Fair Meadows Ln, Suite 220, Raleigh, NC 27607 Phone: 919-781-9905 Fax: 919-782-5747 | |
Catherine H. Cunningham, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Rodessa Run, Raleigh, NC 27607 Phone: 919-593-1810 | |
Smith & Tart, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Northway Ct, Raleigh, NC 27615 Phone: 919-847-6000 Fax: 919-847-3159 | |
Steven H. Davis, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2810 Wakefield Pines Dr, Suite 100, Raleigh, NC 27614 Phone: 919-488-2194 Fax: 919-488-2197 | |
Spectrum Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8511 Cantilever Way Ste 101, Raleigh, NC 27613 Phone: 919-278-7576 Fax: 919-278-7694 | |
Sunrise Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Spring Forest Rd, Raleigh, NC 27615 Phone: 919-878-0055 Fax: 919-878-0096 | |
Dr James J Chun Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3803-b Computer Dr, Suite #202, Raleigh, NC 27609 Phone: 919-787-8779 Fax: 919-787-4156 |