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1621 Live Oak St Beaufort NC 28516-1520 | |
| (252) 728-2025 | |
| (252) 728-3326 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1621 Live Oak St, Beaufort, North Carolina |
| Authorized Official Name and Position | Stacy Rose (OFFICE ADMIN) |
| Authorized Official Contact | 2527282025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1621 Live Oak St Beaufort NC 28516-1520 Ph: (252) 728-2025 | 1621 Live Oak St Beaufort NC 28516-1520 Ph: (252) 728-2025 |
| NPI Number | 1316064918 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316064918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4545 (North Carolina) | Primary |
W. David Short, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Live Oak St, Beaufort, NC 28516 Phone: 252-728-4570 Fax: 252-728-4835 | |
Linda Patterson Swain D D S P A Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lockhart Dr, Beaufort, NC 28516 Phone: 252-504-2138 Fax: 252-504-3752 |