| Shelby Dental Care Center | |
|
1429 N Lafayette St Shelby NC 28150-3406 | |
| (704) 482-7986 | |
| (704) 480-9301 |
| Full Name | Shelby Dental Care Center |
|---|---|
| Speciality | Dentist |
| Location | 1429 N Lafayette St, Shelby, North Carolina |
| Authorized Official Name and Position | Pauline E Cahill (OWNER - PRESIDENT) |
| Authorized Official Contact | 7044827986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Dental Care Center 1429 N Lafayette St Shelby NC 28150-3406 Ph: (704) 482-7986 | Shelby Dental Care Center 1429 N Lafayette St Shelby NC 28150-3406 Ph: (704) 482-7986 |
| NPI Number | 1164452132 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/22/2014 |
| Medicare PECOS PAC ID | 4789709486 |
|---|---|
| Medicare Enrollment ID | O20100918000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164452132 | NPI | - | NPPES |
| 890298H | Medicaid | NC | |
| 0298H | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6658 (North Carolina) | Primary |
| Provider Name | Jessica H Lackey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023379559 PECOS PAC ID: 1254648587 Enrollment ID: I20150917002499 |
| Provider Name | Brenton L Young |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982638391 PECOS PAC ID: 4183931553 Enrollment ID: I20151103001557 |
| Provider Name | Pauline E Cahill |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194755264 PECOS PAC ID: 7719294180 Enrollment ID: I20151205000189 |
Cleveland County Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Grover St, Shelby, NC 28150 Phone: 704-484-5100 Fax: 704-484-5220 | |
Douglas C. Huitt D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Lafayette St, Suite 13, Shelby, NC 28150 Phone: 704-487-8931 Fax: 704-487-8332 | |
Thome & Zimmer Dds Pllc I Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Simpson Park Rd, Shelby, NC 28150 Phone: 704-484-3366 Fax: 704-484-3441 | |
J. William Claytor, Jr., D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Grover St, Shelby, NC 28150 Phone: 704-484-0531 | |
Neal Patel Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 E Marion St Ste 200, Shelby, NC 28150 Phone: 843-602-6989 | |
Alan Brown Dds & Anika Howell Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 East Marion Street, Shelby, NC 28150 Phone: 704-484-0611 |