| Norwood Dental Clinic | |
|
311 South Main Street Norwood NC 28128 | |
| (704) 474-3152 | |
| (704) 474-0274 |
| Full Name | Norwood Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 311 South Main Street, Norwood, North Carolina |
| Authorized Official Name and Position | Mark David Lassiter (OWNER) |
| Authorized Official Contact | 7044743152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norwood Dental Clinic Po Box 859 311 South Main Street Norwood NC 28128 Ph: (704) 474-3152 | Norwood Dental Clinic 311 South Main Street Norwood NC 28128 Ph: (704) 474-3152 |
| NPI Number | 1699948323 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699948323 | NPI | - | NPPES |
| 8995126 | Medicaid | NC | |
| 8996468 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6451 (North Carolina) | Primary |
Londry & Modlin Vi Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 S Main St, Norwood, NC 28128 Phone: 704-474-3152 |