| Thomas E Rider Dds | |
|
1231 Shiloh Church Road Hickory NC 28601 | |
| (828) 495-8256 | |
| Not Available |
| Full Name | Thomas E Rider Dds |
|---|---|
| Speciality | Dentist |
| Location | 1231 Shiloh Church Road, Hickory, North Carolina |
| Authorized Official Name and Position | Thomas Edward Rider (OWNER) |
| Authorized Official Contact | 8284958256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Rider Dds Po Box 6035 Hickory NC 28603-6035 Ph: (828) 495-8256 | Thomas E Rider Dds 1231 Shiloh Church Road Hickory NC 28601 Ph: (828) 495-8256 |
| NPI Number | 1487845533 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487845533 | NPI | - | NPPES |
| 8997391 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5978 (North Carolina) | Primary |
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