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108 Leaning Oak Dr Mooresville NC 28117-6991 | |
(704) 997-8878 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 108 Leaning Oak Dr, Mooresville, North Carolina |
Authorized Official Name and Position | Mary Chaffin (CREDENTIALING) |
Authorized Official Contact | 7049978878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2127 Cornelius NC 28031-2127 Ph: () - | 108 Leaning Oak Dr Mooresville NC 28117-6991 Ph: (704) 997-8878 |
NPI Number | 1588409296 |
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Provider Enumeration Date | 06/26/2024 |
Last Update Date | 12/13/2024 |
Identifier | Type | State | Issuer |
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1588409296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Rivera & Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Statesville Ave, Mooresville, NC 28115 Phone: 704-816-1401 | |
Drs Groody And Reimels Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Rocky River Rd, Mooresville, NC 28115 Phone: 704-782-2630 | |
K. Jasinski, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Kistler Farm Rd Ste 5, Mooresville, NC 28115 Phone: 980-528-4180 Fax: 980-528-4178 | |