| Renee Wall, Dds, Pa | |
|
100 Hyannis Dr Holly Springs NC 27540-8327 | |
| (919) 362-1394 | |
| Not Available |
| Full Name | Renee Wall, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Hyannis Dr, Holly Springs, North Carolina |
| Authorized Official Name and Position | Renee A Wall (OWNER/DENTIST) |
| Authorized Official Contact | 9193621394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Wall, Dds, Pa 100 Hyannis Dr Holly Springs NC 27540-8327 Ph: (919) 362-1394 | Renee Wall, Dds, Pa 100 Hyannis Dr Holly Springs NC 27540-8327 Ph: (919) 362-1394 |
| NPI Number | 1891171138 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891171138 | NPI | - | NPPES |
| 811370 | Other | NC | UNITED CONCORDIA |
| 9008P | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6732 (North Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 9328 (North Carolina) | Secondary |
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