R. Scott Eidson,dds, P.a. | |
504 Mulberry St Sw Lenoir NC 28645-5725 | |
(828) 758-4415 | |
(828) 758-4494 |
Full Name | R. Scott Eidson,dds, P.a. |
---|---|
Speciality | Clinic/center - Dental |
Location | 504 Mulberry St Sw, Lenoir, North Carolina |
Authorized Official Name and Position | Lisa Marie Appleby (BUSINESS ASSISTANT) |
Authorized Official Contact | 8287584415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
R. Scott Eidson,dds, P.a. 504 Mulberry St Sw Lenoir NC 28645-5725 Ph: (828) 758-4415 | R. Scott Eidson,dds, P.a. 504 Mulberry St Sw Lenoir NC 28645-5725 Ph: (828) 758-4415 |
NPI Number | 1205046703 |
---|---|
Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205046703 | NPI | - | NPPES |
8992462 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4482 (North Carolina) | Primary |
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