Surf City Dental | |
13500 Nc Highway 50 Suite 104 Surf City NC 28445-7934 | |
(910) 329-0298 | |
(910) 329-4498 |
Full Name | Surf City Dental |
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Speciality | Dentist |
Location | 13500 Nc Highway 50, Surf City, North Carolina |
Authorized Official Name and Position | Deana Fugate (OWNER) |
Authorized Official Contact | 9103290298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Surf City Dental 13500 Nc Highway 50 Suite 104 Surf City NC 28445-7934 Ph: (910) 329-0298 | Surf City Dental 13500 Nc Highway 50 Suite 104 Surf City NC 28445-7934 Ph: (910) 329-0298 |
NPI Number | 1215114780 |
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Provider Enumeration Date | 01/28/2008 |
Last Update Date | 01/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215114780 | NPI | - | NPPES |
1326027038 | Other | NC | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8338 (North Carolina) | Primary |