| Longleaf Dentistry | |
|
1440 Brogden Woods Dr Ste 101 Wake Forest NC 27587-9827 | |
| (919) 888-4809 | |
| Not Available |
| Full Name | Longleaf Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1440 Brogden Woods Dr Ste 101, Wake Forest, North Carolina |
| Authorized Official Name and Position | Nina Thomas (OWNER) |
| Authorized Official Contact | 7044085590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longleaf Dentistry 1440 Brogden Woods Dr Ste 101 Wake Forest NC 27587-9827 Ph: (919) 888-4809 | Longleaf Dentistry 1440 Brogden Woods Dr Ste 101 Wake Forest NC 27587-9827 Ph: (919) 888-4809 |
| NPI Number | 1801398060 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 03/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801398060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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