| D Sim Siceloff Dds | |
|
19 E 2nd Ave Lexington NC 27292-3362 | |
| (336) 249-6524 | |
| Not Available |
| Full Name | D Sim Siceloff Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19 E 2nd Ave, Lexington, North Carolina |
| Authorized Official Name and Position | Mary Chaffin (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7049978878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Sim Siceloff Dds 19810 W Catawba Ave Ste A1 Cornelius NC 28031-4056 Ph: (704) 997-8878 | D Sim Siceloff Dds 19 E 2nd Ave Lexington NC 27292-3362 Ph: (336) 249-6524 |
| NPI Number | 1821708041 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821708041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Mark R Cowan Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Talbert Blvd, Lexington, NC 27292 Phone: 336-249-2906 Fax: 336-249-7988 | |
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