Northchase Family Dentistry | |
2709 Northchase Pkwy Se Wilmington NC 28405-7421 | |
(919) 409-4175 | |
Not Available |
Full Name | Northchase Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 2709 Northchase Pkwy Se, Wilmington, North Carolina |
Authorized Official Name and Position | Phillip J Kohut (OWNER) |
Authorized Official Contact | 9104094175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northchase Family Dentistry 130 Azalea Ln Wallace NC 28466-9272 Ph: () - | Northchase Family Dentistry 2709 Northchase Pkwy Se Wilmington NC 28405-7421 Ph: (919) 409-4175 |
NPI Number | 1104329846 |
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Provider Enumeration Date | 03/08/2018 |
Last Update Date | 03/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104329846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8448 (North Carolina) | Primary |
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