| Denton Center Llc | |
|
1273 Cedar Creek Dr Asheboro NC 27205-2625 | |
| (336) 736-8195 | |
| (336) 498-8522 |
| Full Name | Denton Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1273 Cedar Creek Dr, Asheboro, North Carolina |
| Authorized Official Name and Position | Albert Joseph Blase (OWNER) |
| Authorized Official Contact | 3366251750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denton Center Llc 1273 Cedar Creek Dr Asheboro NC 27205-2625 Ph: (336) 736-8195 | Denton Center Llc 1273 Cedar Creek Dr Asheboro NC 27205-2625 Ph: (336) 736-8195 |
| NPI Number | 1598707713 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598707713 | NPI | - | NPPES |
| 5909430 | Medicaid | NC | |
| 89012J1 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23878 (North Carolina) | Primary |
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