| Gaston Family Health Services Dental | |
|
991 W Hudson Blvd Gastonia NC 28052-6430 | |
| (704) 862-6182 | |
| (704) 671-1404 |
| Full Name | Gaston Family Health Services Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 991 W Hudson Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Karen F. Edwards (DENTAL BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 7048626182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Family Health Services Dental 991 W Hudson Blvd Gastonia NC 28052-6430 Ph: (704) 862-6182 | Gaston Family Health Services Dental 991 W Hudson Blvd Gastonia NC 28052-6430 Ph: (704) 862-6182 |
| NPI Number | 1154662369 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154662369 | NPI | - | NPPES |
| 344574D | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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