| Kings Mountain Medicaid Dentistry | |
|
107 E Mountain St Kings Mountain NC 28086-3442 | |
| (704) 739-4473 | |
| Not Available |
| Full Name | Kings Mountain Medicaid Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 E Mountain St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Richard F Dest (REGISTERED AGENT/MEMBER) |
| Authorized Official Contact | 7045471279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Mountain Medicaid Dentistry 8305 University Exec Park Dr Suite 300 Charlotte NC 28262-1361 Ph: (704) 547-1279 | Kings Mountain Medicaid Dentistry 107 E Mountain St Kings Mountain NC 28086-3442 Ph: (704) 739-4473 |
| NPI Number | 1578720967 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578720967 | NPI | - | NPPES |
| 890175T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5283 (North Carolina) | Primary |
Dest Family Dentistry Of Kings Mountain Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Mountain St, Kings Mountain, NC 28086 Phone: 704-739-4473 | |
Paul E Hendricks Jr Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Juniper Street, Kings Mountain, NC 28086 Phone: 704-739-7588 Fax: 704-739-4352 | |
Andy Hollifield, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Juniper St, Kings Mountain, NC 28086 Phone: 704-739-7588 Fax: 704-739-4352 | |
Roger K Miller Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Plaza Dr, Kings Mountain, NC 28086 Phone: 704-739-7956 | |
Alliance Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Plaza Dr, Kings Mountain, NC 28086 Phone: 704-739-7956 | |
Baker Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 E King St Ste 9, Kings Mountain, NC 28086 Phone: 704-739-4461 Fax: 704-739-8286 |