|
| |
|
203 S Main St Spring Lake NC 28390-3902 | |
| (910) 497-2969 | |
| (910) 497-6505 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 S Main St, Spring Lake, North Carolina |
| Authorized Official Name and Position | James Clifford Kirk (OWNER) |
| Authorized Official Contact | 9104972969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
203 S Main St Spring Lake NC 28390-3902 Ph: (910) 497-2969 | 203 S Main St Spring Lake NC 28390-3902 Ph: (910) 497-2969 |
| NPI Number | 1346419322 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346419322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6042 (North Carolina) | Primary |
Carolinas Dentist Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Lillington Hwy, Spring Lake, NC 28390 Phone: 330-951-9153 | |