| Hillsdale Dental-lewisville | |
|
1341 Lewisville Clemmons Rd Lewisville NC 27023-9635 | |
| (336) 608-3676 | |
| Not Available |
| Full Name | Hillsdale Dental-lewisville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1341 Lewisville Clemmons Rd, Lewisville, North Carolina |
| Authorized Official Name and Position | Jason Moore (PRESIDENT) |
| Authorized Official Contact | 3366083676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillsdale Dental-lewisville 1341 Lewisville Clemmons Rd Lewisville NC 27023-9635 Ph: (336) 608-3676 | Hillsdale Dental-lewisville 1341 Lewisville Clemmons Rd Lewisville NC 27023-9635 Ph: (336) 608-3676 |
| NPI Number | 1629597240 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629597240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Southern Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6570 Shallowford Rd, Lewisville, NC 27023 Phone: 336-945-5555 Fax: 336-945-0125 |