Madelyn Shore, Dmd, Pllc | |
271 Howard Blvd Newport NC 28570-7927 | |
(252) 223-4161 | |
(252) 223-2442 |
Full Name | Madelyn Shore, Dmd, Pllc |
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Speciality | Dentist - General Practice |
Location | 271 Howard Blvd, Newport, North Carolina |
Authorized Official Name and Position | Madelyn Gray Shore (OWNER) |
Authorized Official Contact | 3369095777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madelyn Shore, Dmd, Pllc Po Box 309 Newport NC 28570-0309 Ph: (252) 223-4161 | Madelyn Shore, Dmd, Pllc 271 Howard Blvd Newport NC 28570-7927 Ph: (252) 223-4161 |
NPI Number | 1174121099 |
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Provider Enumeration Date | 10/13/2020 |
Last Update Date | 10/13/2020 |
Identifier | Type | State | Issuer |
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1174121099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |