Southern Dental Associates | |
1690 River St Wilkesboro NC 28697-7630 | |
(336) 838-9400 | |
(336) 838-1872 |
Full Name | Southern Dental Associates |
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Speciality | Dentist |
Location | 1690 River St, Wilkesboro, North Carolina |
Authorized Official Name and Position | Dacia K Eilert-holcomb (OFFICE MANAGER) |
Authorized Official Contact | 3369455555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Dental Associates 1690 River St Wilkesboro NC 28697-7630 Ph: (336) 838-9400 | Southern Dental Associates 1690 River St Wilkesboro NC 28697-7630 Ph: (336) 838-9400 |
NPI Number | 1053442210 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053442210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (North Carolina) | Secondary |
Jonathan Z. Wang, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 River St, Wilkesboro, NC 28697 Phone: 336-838-4119 | |
Michael J. Andreski, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 River St, Wilkesboro, NC 28697 Phone: 336-667-1029 Fax: 336-667-4155 |