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1001b Hardee Rd Kinston NC 28504-3323 | |
| (252) 939-1400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001b Hardee Rd, Kinston, North Carolina |
| Authorized Official Name and Position | Charles Disdier (DENTIST) |
| Authorized Official Contact | 2529391400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1001b Hardee Rd Kinston NC 28504-3323 Ph: (252) 939-1400 | 1001b Hardee Rd Kinston NC 28504-3323 Ph: (252) 939-1400 |
| NPI Number | 1194867002 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194867002 | NPI | - | NPPES |
| 5903565 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6975 (North Carolina) | Primary |
Kendall A Mitchell Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Glenwood Ave, Kinston, NC 28501 Phone: 252-523-4927 | |
Nirjal Patel, Dmd, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Industrial Dr, Kinston, NC 28504 Phone: 252-523-0544 | |