|
| |
|
1472 Jag Branch Blvd Kernersville NC 27284-6956 | |
| (336) 967-6066 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1472 Jag Branch Blvd, Kernersville, North Carolina |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1472 Jag Branch Blvd Kernersville NC 27284-6956 Ph: (336) 967-6066 | 1472 Jag Branch Blvd Kernersville NC 27284-6956 Ph: (336) 967-6066 |
| NPI Number | 1003578097 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003578097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Robert Rosenthal Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Broad St, Kernersville, NC 27284 Phone: 336-996-6551 Fax: 336-851-1737 | |
Morse & Doyle, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 Hopkins Rd, Kernersville, NC 27284 Phone: 336-996-4400 | |
Jesse A. Grimm,dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Old Winston Road, Suite 101, Kernersville, NC 27284 Phone: 336-996-7770 | |