| Wilkes Public Health Dental Clinic | |
|
1915 West Park Dr Suite 104 N Wilkesboro NC 28659-3777 | |
| (336) 903-7302 | |
| (336) 903-0464 |
| Full Name | Wilkes Public Health Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1915 West Park Dr, N Wilkesboro, North Carolina |
| Authorized Official Name and Position | Jerald H. Atkins (OFFICE MANAGER) |
| Authorized Official Contact | 3369037302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilkes Public Health Dental Clinic 1915 West Park Dr Suite 104 N Wilkesboro NC 28659-3777 Ph: (336) 903-7302 | Wilkes Public Health Dental Clinic 1915 West Park Dr Suite 104 N Wilkesboro NC 28659-3777 Ph: (336) 903-7302 |
| NPI Number | 1184728339 |
|---|---|
| Provider Enumeration Date | 09/09/2006 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184728339 | NPI | - | NPPES |
| 07095 | Other | NC | INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |