| Samuel Bartlett Dds, Pllc | |
|
3309 Healy Dr Ste B Winston Salem NC 27103-1474 | |
| (366) 765-8847 | |
| Not Available |
| Full Name | Samuel Bartlett Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3309 Healy Dr Ste B, Winston Salem, North Carolina |
| Authorized Official Name and Position | Samuel Bartlett (ORGANIZER/MEMBER) |
| Authorized Official Contact | 4355535392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Bartlett Dds, Pllc 3309 Healy Dr Ste B Winston Salem NC 27103-1474 Ph: (366) 765-8847 | Samuel Bartlett Dds, Pllc 3309 Healy Dr Ste B Winston Salem NC 27103-1474 Ph: (366) 765-8847 |
| NPI Number | 1841806387 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841806387 | NPI | - | NPPES |
| 1821447350 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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