Mobile Dental | |
1000 Medical Center Road Hwy 421 Mamers NC 27552-0397 | |
(910) 893-5402 | |
(910) 893-2567 |
Full Name | Mobile Dental |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1000 Medical Center Road, Mamers, North Carolina |
Authorized Official Name and Position | Sheila Simmons (CEO) |
Authorized Official Contact | 9103640971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mobile Dental 40 Autumn Fern Trl Lillington NC 27546-5155 Ph: (910) 364-0971 | Mobile Dental 1000 Medical Center Road Hwy 421 Mamers NC 27552-0397 Ph: (910) 893-5402 |
NPI Number | 1679706691 |
---|---|
Provider Enumeration Date | 08/25/2009 |
Last Update Date | 04/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679706691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |