| Nicholas James Penna D.d.s.,p.a. | |
|
1819 Brenner Ave Salisbury NC 28144-2519 | |
| (704) 633-5942 | |
| (704) 639-0237 |
| Full Name | Nicholas James Penna D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1819 Brenner Ave, Salisbury, North Carolina |
| Authorized Official Name and Position | Nicholas James Penna (PRESIDENT) |
| Authorized Official Contact | 7046335942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas James Penna D.d.s.,p.a. 1819 Brenner Ave Salisbury NC 28144-2519 Ph: (704) 633-5942 | Nicholas James Penna D.d.s.,p.a. 1819 Brenner Ave Salisbury NC 28144-2519 Ph: (704) 633-5942 |
| NPI Number | 1033210380 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033210380 | NPI | - | NPPES |
| 8996806 | Medicaid | NC | |
| 899019P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | NC4936 (North Carolina) | Primary |
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Todd R. Tibbs, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1933 Jake Alexander Blvd. West, Suite 203, Salisbury, NC 28147 Phone: 704-633-1799 | |
James K. Jolly, D.d.s, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Salisbury, NC 28146 Phone: 704-633-7117 Fax: 704-633-4637 | |
Anderson Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Suite 2, Salisbury, NC 28146 Phone: 704-636-3611 Fax: 704-636-3694 | |
David E Thome Dds Pllc L1 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Mahaley Ave Ste B, Salisbury, NC 28144 Phone: 704-637-5506 | |
J David Boyd Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 644 Statesville Blvd, Ste #4, Salisbury, NC 28144 Phone: 704-636-1533 Fax: 704-636-5514 | |
Hetal Amin-patel, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Innes St, Salisbury, NC 28144 Phone: 704-633-2612 Fax: 704-314-0740 |