| Open Door Dentistry | |
|
991 West Hudson Blvd Gastonia NC 28052 | |
| (704) 853-5191 | |
| (704) 853-5131 |
| Full Name | Open Door Dentistry |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 991 West Hudson Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Robert E Martin (CFO) |
| Authorized Official Contact | 7048743313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Dentistry 991 West Hudson Blvd Gastonia NC 28052 Ph: (704) 853-5191 | Open Door Dentistry 991 West Hudson Blvd Gastonia NC 28052 Ph: (704) 853-5191 |
| NPI Number | 1932387719 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932387719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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