| |
821 E Sycamore St Lincolnton NC 28092-3427 | |
(704) 735-3117 | |
(704) 735-1107 |
Full Name | |
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Speciality | Dentist |
Location | 821 E Sycamore St, Lincolnton, North Carolina |
Authorized Official Name and Position | Antuan L Herriott (OWNER) |
Authorized Official Contact | 7044140461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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821 E Sycamore St Lincolnton NC 28092-3427 Ph: (704) 735-3117 | 821 E Sycamore St Lincolnton NC 28092-3427 Ph: (704) 735-3117 |
NPI Number | 1902259377 |
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Provider Enumeration Date | 07/20/2016 |
Last Update Date | 07/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902259377 | NPI | - | NPPES |
5910047 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8664 (North Carolina) | Primary |
Rick Hensley Dmd Iii Pa Dba Lincolnton Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 E Sycamore St, Lincolnton, NC 28092 Phone: 704-735-3117 Fax: 704-735-1107 | |
Robert Warren Ii Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 S Laurel St Ste 1, Lincolnton, NC 28092 Phone: 704-479-6777 | |
John L. Cloninger, Dds. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 S Magnolia St, Lincolnton, NC 28092 Phone: 704-732-3336 | |