| N. Kephart Dds Pllc | |
|
330 Hospital St Mocksville NC 27028-2061 | |
| (336) 760-9840 | |
| Not Available |
| Full Name | N. Kephart Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Hospital St, Mocksville, North Carolina |
| Authorized Official Name and Position | Nickolas Andrew Kephart (OWNER) |
| Authorized Official Contact | 3367609840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N. Kephart Dds Pllc 330 Hospital St Mocksville NC 27028-2061 Ph: (336) 760-9840 | N. Kephart Dds Pllc 330 Hospital St Mocksville NC 27028-2061 Ph: (336) 760-9840 |
| NPI Number | 1477109239 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477109239 | NPI | - | NPPES |
| 1154559318 | Other | VA | NPI |
| 1427494350 | Other | NC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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