| Gfhs Pediatric Dentistry | |
|
991 W Hudson Blvd Gastonia NC 28052-6430 | |
| (704) 853-5079 | |
| Not Available |
| Full Name | Gfhs Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 991 W Hudson Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Robert Spencer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048535261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gfhs Pediatric Dentistry 991 W Hudson Blvd Gastonia NC 28052-6430 Ph: (704) 853-5079 | Gfhs Pediatric Dentistry 991 W Hudson Blvd Gastonia NC 28052-6430 Ph: (704) 853-5079 |
| NPI Number | 1629210174 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 11/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629210174 | NPI | - | NPPES |
| ZAN 978 | Medicaid | SC | |
| 890256H | Medicaid | NC | |
| 344574 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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