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104 Center Street Princeton NC 27569 | |
| (919) 936-2418 | |
| (919) 936-2418 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 Center Street, Princeton, North Carolina |
| Authorized Official Name and Position | Nancy Campbell (REGIONAL MANAGER) |
| Authorized Official Contact | 9196247207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 660 Princeton NC 27569 Ph: (919) 936-2418 | 104 Center Street Princeton NC 27569 Ph: (919) 936-2418 |
| NPI Number | 1215022322 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215022322 | NPI | - | NPPES |
| 5902047 | Medicaid | NC | |
| 5901114 | Medicaid | NC | |
| 89902EJ | Medicaid | NC |