Purple Tooth Dental | |
112 Woodlawn Ave Mt Holly NC 28120-1775 | |
(704) 885-2266 | |
Not Available |
Full Name | Purple Tooth Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 112 Woodlawn Ave, Mt Holly, North Carolina |
Authorized Official Name and Position | Andy Mancini (CEO) |
Authorized Official Contact | 7048852266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Purple Tooth Dental 112 Woodlawn Ave Mt Holly NC 28120-1775 Ph: (704) 885-2266 | Purple Tooth Dental 112 Woodlawn Ave Mt Holly NC 28120-1775 Ph: (704) 885-2266 |
NPI Number | 1841955945 |
---|---|
Provider Enumeration Date | 11/03/2021 |
Last Update Date | 11/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841955945 | NPI | - | NPPES |
1982835831 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |