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2980 Ray Road Spring Lake NC 28390 | |
| (910) 778-8485 | |
| (910) 778-8477 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2980 Ray Road, Spring Lake, North Carolina |
| Authorized Official Name and Position | Vincent P. Vissiehelli (DOCTOR) |
| Authorized Official Contact | 9107788485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
213 Skyland Plaza Suite 1370-212 Firehouse Kid's Dentistry Spring Lake NC 28390 Ph: (910) 778-8485 | 2980 Ray Road Spring Lake NC 28390 Ph: (910) 778-8485 |
| NPI Number | 1083037444 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083037444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8363 (North Carolina) | Primary |
Carolinas Dentist Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Lillington Hwy, Spring Lake, NC 28390 Phone: 330-951-9153 | |