Dr Justin Randolph Valentine, DDS is a
Dentist based in Ocean Isle Beach, North Carolina. Dr Justin Randolph Valentine is licensed to practice in North Carolina (license number 9004) and his current practice location is
6934 Beach Dr Sw, Ocean Isle Beach, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(804) 475-1000.
NPI number for Dr Justin Randolph Valentine is 1861703829 and his current mailing address is 6934 Beach Dr Sw, Ocean Isle Beach, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861703829.
Healthcare Provider's Profile
| Full Name | Dr Justin Randolph Valentine |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 6934 Beach Dr Sw, Ocean Isle Beach, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861703829
- Provider Enumeration Date: 06/24/2010
- Last Update Date: 02/13/2012
Medical Identifiers
Medical identifiers for Dr Justin Randolph Valentine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861703829 | NPI | - | NPPES |
| 004011136 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9004 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin Randolph Valentine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Justin Randolph Valentine, DDS
6934 Beach Dr Sw,
Ocean Isle Beach, NC 28469-5797
Ph: (910) 777-8660 | Dr Justin Randolph Valentine, DDS
6934 Beach Dr Sw,
Ocean Isle Beach, NC 28469-5797
Ph: (804) 475-1000 |
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