| Mark G Castor Dmd Ll Pa | |
|
153 Brady Street Ext Ramseur NC 27316-8701 | |
| (336) 824-8300 | |
| (336) 824-6556 |
| Full Name | Mark G Castor Dmd Ll Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 153 Brady Street Ext, Ramseur, North Carolina |
| Authorized Official Name and Position | Mark Castor (PRESIDENT) |
| Authorized Official Contact | 3368248300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Castor Dmd Ll Pa 153 Brady Street Ext Ramseur NC 27316-8701 Ph: (336) 824-8300 | Mark G Castor Dmd Ll Pa 153 Brady Street Ext Ramseur NC 27316-8701 Ph: (336) 824-8300 |
| NPI Number | 1720356173 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720356173 | NPI | - | NPPES |
| 8991437 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6103 (North Carolina) | Primary |
Castor Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Brady Street Ext, Ramseur, NC 27316 Phone: 336-824-8300 | |
Ramseur Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 N Brady Street, Ramseur, NC 27316 Phone: 336-824-8300 |