|
| |
|
2207 Evans St Greenville NC 27834-6408 | |
| (252) 833-7199 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2207 Evans St, Greenville, North Carolina |
| Authorized Official Name and Position | Andres F Gamboa (OWNER) |
| Authorized Official Contact | 2524818182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4430 Privacy Ln Washington NC 27889-7108 Ph: (252) 481-8182 | 2207 Evans St Greenville NC 27834-6408 Ph: (252) 833-7199 |
| NPI Number | 1467220012 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 9537605431 |
|---|---|
| Medicare Enrollment ID | O20240729000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467220012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Andres Felipe Gamboa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548377864 PECOS PAC ID: 0446796346 Enrollment ID: I20240729000234 |
Lee, Fussell, Humphreys & Humphreys, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Oakmont Dr, Greenville, NC 27858 Phone: 252-355-2424 Fax: 252-355-2701 | |
Andrew B. Jordan, Dmd, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Commerce St, Greenville, NC 27858 Phone: 252-756-6626 | |
Roberts Kamp & Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Se Greenville Blvd, Greenville, NC 27858 Phone: 480-607-9999 | |
Mohamed & Associates Dds Pa I Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 W Arlington Blvd Ste 107, Greenville, NC 27834 Phone: 252-321-8580 Fax: 252-321-8582 | |
William E Williams Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2799 S Charles Blvd, Greenville, NC 27858 Phone: 252-355-2300 | |
Donald L Hardee Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Commerce St, Greenville, NC 27858 Phone: 252-756-6626 Fax: 252-756-2147 |