Dr Mark T Shehan, DDS | |
1601 South Hawthorne Road, Winston Salem, NC 27103-4127 | |
(336) 765-9550 | |
(336) 765-9552 |
Full Name | Dr Mark T Shehan |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1601 South Hawthorne Road, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083721906 | NPI | - | NPPES |
7997761 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4949 (North Carolina) | Primary |
Entity Name | A. Todd Smith, Dds Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275500167 PECOS PAC ID: 9436287208 Enrollment ID: O20100514000817 |
Mailing Address | Practice Location Address |
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Dr Mark T Shehan, DDS 1601 South Hawthorne Road, Winston Salem, NC 27103-4127 Ph: (336) 765-9550 | Dr Mark T Shehan, DDS 1601 South Hawthorne Road, Winston Salem, NC 27103-4127 Ph: (336) 765-9550 |
Dr. Robert L Edwards, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1900 S Hawthorne Road, # 360 Forsyth Medical Park, Winston Salem, NC 27103 Phone: 336-768-6520 Fax: 336-768-6522 | |
Dr. Charles Daniel Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 Miller St, Winston Salem, NC 27103 Phone: 336-716-2183 | |
Dr. Bobby Gene Wooten, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4001k Country Club Rd, Winston Salem, NC 27104 Phone: 336-399-5215 | |
Mary Katherine Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1551 Westbrook Plaza Dr, Suite 203, Winston Salem, NC 27103 Phone: 336-765-0904 | |
Dr. Edward Mcarthur Baust Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2905 Briarcliffe Rd, Winston Salem, NC 27106 Phone: 404-729-9508 | |
Sanabil Manzoor Khattak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 Piccadilly Dr Ste A, Winston Salem, NC 27104 Phone: 336-760-8700 Fax: 336-518-0415 | |
Dr. Herbert J. Johnson Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-718-1800 Fax: 336-718-1835 |