|
| |
|
701 S Laurel St #1 Lincolnton NC 28092-3652 | |
| (704) 604-0353 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 701 S Laurel St, Lincolnton, North Carolina |
| Authorized Official Name and Position | Lucenda Harris (CREDENTIALING & CONTRACTING COORDIN) |
| Authorized Official Contact | 9807295200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 530172 Atlanta GA 30353-0172 Ph: (980) 729-5200 | 701 S Laurel St #1 Lincolnton NC 28092-3652 Ph: (704) 604-0353 |
| NPI Number | 1114475159 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114475159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (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 | |