| Olive Chapel Family Dentistry | |
|
1801 Olive Chapel Rd Suite 105 Apex NC 27502 | |
| (919) 345-1501 | |
| Not Available |
| Full Name | Olive Chapel Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1801 Olive Chapel Rd, Apex, North Carolina |
| Authorized Official Name and Position | Dustin Jacob Prusik (OWNER/PRESIDENT) |
| Authorized Official Contact | 9193451501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Chapel Family Dentistry 230 Dove Cottage Ln Cary NC 27519-0505 Ph: () - | Olive Chapel Family Dentistry 1801 Olive Chapel Rd Suite 105 Apex NC 27502 Ph: (919) 345-1501 |
| NPI Number | 1548616733 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 05/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548616733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9726 (North Carolina) | Primary |
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