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451 Ruin Creek Rd Suite 201 Henderson NC 27536-2878 | |
| (252) 572-2520 | |
| (252) 572-2527 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 451 Ruin Creek Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Tina Gupta (DENTIST) |
| Authorized Official Contact | 2525722520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
451 Ruin Creek Rd Suite 201 Henderson NC 27536-2878 Ph: (252) 572-2520 | 451 Ruin Creek Rd Suite 201 Henderson NC 27536-2878 Ph: (252) 572-2520 |
| NPI Number | 1881904084 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881904084 | NPI | - | NPPES |
| 5914161 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Richard J. Noel, Dds,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Ruin Creek Rd, Suite 201, Henderson, NC 27536 Phone: 252-438-8146 | |
Kirby J. Ransom Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Charles D Rollins Rd, Henderson, NC 27536 Phone: 252-492-7563 | |
Dave E Foulkes Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 S Beckford Dr Ste B, Henderson, NC 27536 Phone: 252-492-8080 Fax: 252-438-6105 | |
William S. Wooten, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 857 S Beckford Dr, Suite F, Henderson, NC 27536 Phone: 252-492-5200 Fax: 252-492-7534 | |