| Sanford Pediatric Dentistry | |
|
136 Carbonton Rd Sanford NC 27330-4000 | |
| (919) 718-5561 | |
| (919) 718-5562 |
| Full Name | Sanford Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 136 Carbonton Rd, Sanford, North Carolina |
| Authorized Official Name and Position | Antonio Stanley Braithwaite (OWNER/ PEDIATRIC DENTIST) |
| Authorized Official Contact | 9192601154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Pediatric Dentistry 136 Carbonton Rd Sanford NC 27330-4000 Ph: (919) 718-5561 | Sanford Pediatric Dentistry 136 Carbonton Rd Sanford NC 27330-4000 Ph: (919) 718-5561 |
| NPI Number | 1255627915 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255627915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (North Carolina) | Primary |
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Dental Care Of Sanford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Carthage St, Sanford, NC 27330 Phone: 919-774-1733 | |
J. David Fisher, Jr., Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Doctor's Dr., Sanford, NC 27330 Phone: 919-776-0741 Fax: 919-774-6443 |