| Usa Dentac | |
|
2817 Reilly St Fort Bragg NC 28310-7324 | |
| (910) 643-2196 | |
| Not Available |
| Full Name | Usa Dentac |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2817 Reilly St, Fort Bragg, North Carolina |
| Authorized Official Name and Position | Charles Bernatovitz (HSS) |
| Authorized Official Contact | 9106432196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usa Dentac 2817 Rielly Road Fort Bragg NC 28310 Ph: (910) 643-2196 | Usa Dentac 2817 Reilly St Fort Bragg NC 28310-7324 Ph: (910) 643-2196 |
| NPI Number | 1568918340 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568918340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7547 (North Carolina) | Primary |
Usa Dentac Hqs Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-643-2196 | |
Usa Dentac Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2817 Rielly Road, Fort Bragg, NC 28310 Phone: 910-643-2196 |