Peterson & Swartz Dds, Pllc | |
10479 N. Highway 109 Suite 107 B Winston Salem NC 27107-9884 | |
(701) 428-1730 | |
Not Available |
Full Name | Peterson & Swartz Dds, Pllc |
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Speciality | Dentist - General Practice |
Location | 10479 N. Highway 109, Winston Salem, North Carolina |
Authorized Official Name and Position | Gregory Taylor Swartz (OWNER) |
Authorized Official Contact | 3364418032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peterson & Swartz Dds, Pllc 10479 N. Highway 109 Suite 107 B Winston Salem NC 27107-9884 Ph: (701) 428-1730 | Peterson & Swartz Dds, Pllc 10479 N. Highway 109 Suite 107 B Winston Salem NC 27107-9884 Ph: (701) 428-1730 |
NPI Number | 1225444888 |
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Provider Enumeration Date | 07/03/2014 |
Last Update Date | 07/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225444888 | NPI | - | NPPES |
PE-G6JQU7H23 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7494 (North Carolina) | Primary |
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