| Wilkes Dental Consortium | |
|
1915 W Park Dr Ste 104 North Wilkesboro NC 28659-3777 | |
| (336) 903-9399 | |
| Not Available |
| Full Name | Wilkes Dental Consortium |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1915 W Park Dr Ste 104, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Dedra Roberts (FRONT DESK MANAGER) |
| Authorized Official Contact | 3369039399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilkes Dental Consortium 1915 W Park Dr Ste 104 North Wilkesboro NC 28659-3777 Ph: (336) 903-9399 | Wilkes Dental Consortium 1915 W Park Dr Ste 104 North Wilkesboro NC 28659-3777 Ph: (336) 903-9399 |
| NPI Number | 1508380544 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508380544 | NPI | - | NPPES |
| 911943799 | Other | NC | NCHC |
| 1962565788 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mj Mayhew Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Wilkesboro Ave, North Wilkesboro, NC 28659 Phone: 828-264-0110 | |
Todd S Jordan, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Main St, North Wilkesboro, NC 28659 Phone: 336-667-2201 Fax: 336-903-1652 | |
T. Keaton Mash, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Wilkesboro Ave, North Wilkesboro, NC 28659 Phone: 336-667-4143 | |
Dental Health Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 West Park Drive, North Wilkesboro, NC 28659 Phone: 336-903-9399 Fax: 336-903-0464 | |
Modlin & Londry Vi Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Main St, North Wilkesboro, NC 28659 Phone: 704-575-5409 | |
Robert F Ricketts, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Wilkesboro Ave, North Wilkesboro, NC 28659 Phone: 336-667-4143 |