Lisa Gushin D.d.s. P.a. | |
203 Owen Dr Fayetteville NC 28304-3409 | |
(910) 484-1771 | |
(910) 484-8876 |
Full Name | Lisa Gushin D.d.s. P.a. |
---|---|
Speciality | Clinic/center - Dental |
Location | 203 Owen Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Lisa Gushin (PRESIDENT) |
Authorized Official Contact | 9104841771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lisa Gushin D.d.s. P.a. 203 Owen Dr Fayetteville NC 28304-3409 Ph: (910) 484-1771 | Lisa Gushin D.d.s. P.a. 203 Owen Dr Fayetteville NC 28304-3409 Ph: (910) 484-1771 |
NPI Number | 1558548875 |
---|---|
Provider Enumeration Date | 01/29/2008 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558548875 | NPI | - | NPPES |
899010F | Medicaid | NC | |
9010F | Other | NC | BCBS |
586286 | Other | NC | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6908 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |