| Roseboro Family Dentistry | |
|
401 Hwy 24 West Roseboro NC 28382 | |
| (910) 525-5115 | |
| (910) 525-3513 |
| Full Name | Roseboro Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 401 Hwy 24 West, Roseboro, North Carolina |
| Authorized Official Name and Position | Mathew John Schmitt (SECRETARY) |
| Authorized Official Contact | 9105255115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseboro Family Dentistry Po Box 1810 Roseboro NC 28382 Ph: (910) 525-5115 | Roseboro Family Dentistry 401 Hwy 24 West Roseboro NC 28382 Ph: (910) 525-5115 |
| NPI Number | 1518043355 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518043355 | NPI | - | NPPES |
| 5903703 | Medicaid | NC | |
| 018JT | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7654 (North Carolina) | Primary |
| 122300000X | Dentist | 7517 (North Carolina) | Secondary |
Lane And Associates Xxvi Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Dr Martin L King Jr Blvd, Roseboro, NC 28382 Phone: 910-525-5115 Fax: 910-525-3513 |