Dr Madelyn Gray Shore, DMD is a
Dentist - General Practice based in Newport, North Carolina. Dr Madelyn Gray Shore is licensed to practice in North Carolina (license number 11837) and her current practice location is
271 Howard Blvd, Newport, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 223-4161.
NPI number for Dr Madelyn Gray Shore is 1114549375 and her current mailing address is 211 Dogwood St, Atlantic Beach, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114549375.
Healthcare Provider's Profile
Full Name | Dr Madelyn Gray Shore |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 271 Howard Blvd, Newport, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114549375
- Provider Enumeration Date: 05/11/2020
- Last Update Date: 06/11/2020
Medical Identifiers
Medical identifiers for Dr Madelyn Gray Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114549375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 11837 (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 Madelyn Gray Shore 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 Madelyn Gray Shore, DMD 211 Dogwood St, Atlantic Beach, NC 28512-5104 Ph: () - | Dr Madelyn Gray Shore, DMD 271 Howard Blvd, Newport, NC 28570-7927 Ph: (252) 223-4161 |
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