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452 Shotwell Rd Clayton NC 27520-7397 | |
| (919) 750-8484 | |
| (919) 243-2892 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 452 Shotwell Rd, Clayton, North Carolina |
| Authorized Official Name and Position | Elizabeth Ann West (OFFICE MANAGER) |
| Authorized Official Contact | 9198344932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2945 New Bern Ave Raleigh NC 27610-1213 Ph: (919) 834-4932 | 452 Shotwell Rd Clayton NC 27520-7397 Ph: (919) 750-8484 |
| NPI Number | 1750871562 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750871562 | NPI | - | NPPES |
| 1578790762 | Medicaid | NC | |
| 1568422681 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (North Carolina) | Primary |
Tanya Rajdev, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Briarcliff Dr, Suite #c And D, Clayton, NC 27527 Phone: 919-578-3069 | |
Dr. Folden W Lee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 Barber Mill Rd, Clayton, NC 27520 Phone: 919-553-2238 | |
Matthew Mcnutt, Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Tew Ct, Suite 108, Clayton, NC 27520 Phone: 919-451-3704 | |