| Gregory J. Kuchtjak, D.m.d., P.a. | |
|
933 N Carolina Ave Statesville NC 28677-3414 | |
| (704) 883-8516 | |
| (704) 883-8560 |
| Full Name | Gregory J. Kuchtjak, D.m.d., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 933 N Carolina Ave, Statesville, North Carolina |
| Authorized Official Name and Position | Gregory J. Kuchtjak (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7048838516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory J. Kuchtjak, D.m.d., P.a. 933 N Carolina Ave Statesville NC 28677-3414 Ph: (704) 883-8516 | Gregory J. Kuchtjak, D.m.d., P.a. 933 N Carolina Ave Statesville NC 28677-3414 Ph: (704) 883-8516 |
| NPI Number | 1871750745 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871750745 | NPI | - | NPPES |
| 902VG | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7068 (North Carolina) | Primary |
Phillip D. Beaver, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Davie Ave, Statesville, NC 28677 Phone: 704-872-8934 | |
Youngchi Chang Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 Glenway Ave Ste A, Statesville, NC 28625 Phone: 704-252-5793 | |
Randall S Perry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 Davie Ave, Statesville, NC 28677 Phone: 704-881-0990 Fax: 704-872-8541 | |
George R. Rankin Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 734 Hartness Rd, Statesville, NC 28677 Phone: 704-872-6534 Fax: 704-872-9407 | |
Gary N Gaither Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 North Mulberry Street, Statesville, NC 28677 Phone: 704-873-8465 | |
Orbie E Ottey Jr Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 Glenway Dr. Ste A, Statesville, NC 28625 Phone: 704-252-5793 | |
Robert Scott Nance, Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Davie Ave, Statesville, NC 28677 Phone: 704-924-7650 Fax: 704-924-7178 |