High Point Oral And Maxillofacial Surgery | |
901 N Lindsay St High Point NC 27262-3903 | |
(336) 884-8771 | |
(336) 884-8770 |
Full Name | High Point Oral And Maxillofacial Surgery |
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Speciality | Dentist |
Location | 901 N Lindsay St, High Point, North Carolina |
Authorized Official Name and Position | Gary Joseph Desalvo (OWNER/PHYSICIAN) |
Authorized Official Contact | 3368848771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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High Point Oral And Maxillofacial Surgery 901 N Lindsay St High Point NC 27262-3903 Ph: (336) 884-8771 | High Point Oral And Maxillofacial Surgery 901 N Lindsay St High Point NC 27262-3903 Ph: (336) 884-8771 |
NPI Number | 1194758656 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 09/01/2017 |
Medicare PECOS PAC ID | 8426247362 |
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Medicare Enrollment ID | O20110107000826 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194758656 | NPI | - | NPPES |
6901827 | Medicaid | NC | |
01827 | Other | NC | BCBS GROUP IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4854 (North Carolina) | Primary |
Provider Name | Robert Russell |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1699791921 PECOS PAC ID: 4486843323 Enrollment ID: I20110107000951 |
Provider Name | Gary Desalvo |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1689699084 PECOS PAC ID: 2668661505 Enrollment ID: I20110110000799 |
Provider Name | Albert R Newsome |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1144675422 PECOS PAC ID: 4486945326 Enrollment ID: I20210721000512 |
R. E. Martin, Jr., Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Phillips Ave Ste 103, High Point, NC 27262 Phone: 335-889-4733 | |
Eric J Hartzell Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3931 Tinsley Drive, Suite 101, High Point, NC 27265 Phone: 336-886-8776 Fax: 336-886-8806 | |
Bertrand A. Bonnick,d.d.s.,p.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2783 Nc Highway 68 S, Suite #107, High Point, NC 27265 Phone: 336-841-0000 Fax: 336-841-0001 | |
Ideal Dental High Point Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1589 Skeet Club Rd Ste 150, High Point, NC 27265 Phone: 336-450-2078 Fax: 336-419-4750 | |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Hutton Ln Ste 112, High Point, NC 27262 Phone: 336-887-9277 | |
Dr George M Wallace Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Elm St, High Point, NC 27262 Phone: 336-882-4181 Fax: 336-464-2166 | |
Bradley A. Samuel Dds., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N. Lindsay Street, High Point, NC 27262 Phone: 336-883-2316 Fax: 336-883-7686 |