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11223 Davinci Dr Davidson NC 28036-7799 | |
(704) 895-6445 | |
(704) 895-6496 |
Full Name | |
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Speciality | Dentist |
Location | 11223 Davinci Dr, Davidson, North Carolina |
Authorized Official Name and Position | Brandi R Jackson (OWNER/DENTIST) |
Authorized Official Contact | 7048956445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11223 Davinci Dr Davidson NC 28036-7799 Ph: (704) 895-6445 | 11223 Davinci Dr Davidson NC 28036-7799 Ph: (704) 895-6445 |
NPI Number | 1881975191 |
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Provider Enumeration Date | 08/31/2011 |
Last Update Date | 08/31/2011 |
Identifier | Type | State | Issuer |
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1881975191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 8224 (North Carolina) | Primary |
Thomas R Ferrell, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11195 Da Vinci Drive, Davidson, NC 28036 Phone: 704-439-3191 | |
Coleman And Dastrup Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 S Main St Ste 101, Davidson, NC 28036 Phone: 704-896-5850 | |