| Omnidental | |
|
1114 Old Stone Ln Kernersville NC 27284-3853 | |
| (336) 287-7283 | |
| Not Available |
| Full Name | Omnidental |
|---|---|
| Speciality | Dentist |
| Location | 1114 Old Stone Ln, Kernersville, North Carolina |
| Authorized Official Name and Position | Fonda Smith Strickland (OWNER) |
| Authorized Official Contact | 3362877283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnidental 1114 Old Stone Ln Kernersville NC 27284-3853 Ph: (336) 287-7283 | Omnidental 1114 Old Stone Ln Kernersville NC 27284-3853 Ph: (336) 287-7283 |
| NPI Number | 1083169569 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083169569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9407 (North Carolina) | Primary |
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