| Premier Dentistry Of Wake Forest | |
|
2824 Rogers Rd Ste 103 Wake Forest NC 27587-3896 | |
| (919) 554-4588 | |
| Not Available |
| Full Name | Premier Dentistry Of Wake Forest |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2824 Rogers Rd Ste 103, Wake Forest, North Carolina |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dentistry Of Wake Forest 2824 Rogers Rd Ste 103 Wake Forest NC 27587-3896 Ph: (919) 554-4588 | Premier Dentistry Of Wake Forest 2824 Rogers Rd Ste 103 Wake Forest NC 27587-3896 Ph: (919) 554-4588 |
| NPI Number | 1063165793 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063165793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Premier Dentistry Of Wake Forest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2824 Rogers Rd, Suite 103, Wake Forest, NC 27587 Phone: 919-554-4588 | |
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