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2305 Nc 24-87 Cameron NC 28326-9424 | |
| (910) 947-5433 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2305 Nc 24-87, Cameron, North Carolina |
| Authorized Official Name and Position | Mark Herring (OWNER) |
| Authorized Official Contact | 9102974744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1512 Nc 24-87 Cameron NC 28326-9424 Ph: (910) 947-5433 | 2305 Nc 24-87 Cameron NC 28326-9424 Ph: (910) 947-5433 |
| NPI Number | 1548950124 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548950124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |