| Statesville Pediatric Dentistry | |
|
1454 Fern Creek Drive Statesville NC 28625 | |
| (980) 223-2607 | |
| (980) 223-6064 |
| Full Name | Statesville Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1454 Fern Creek Drive, Statesville, North Carolina |
| Authorized Official Name and Position | Lucenda Harris (CREDENTIALING & CONTRACTING COORDIN) |
| Authorized Official Contact | 9807295200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statesville Pediatric Dentistry Po Box 530172 Atlanta GA 30353-0172 Ph: (980) 729-5200 | Statesville Pediatric Dentistry 1454 Fern Creek Drive Statesville NC 28625 Ph: (980) 223-2607 |
| NPI Number | 1356730741 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356730741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9277 (North Carolina) | Primary |
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Phillip D. Beaver, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Davie Ave, Statesville, NC 28677 Phone: 704-872-8934 | |
Youngchi Chang Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 Glenway Ave Ste A, Statesville, NC 28625 Phone: 704-252-5793 | |
Randall S Perry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 Davie Ave, Statesville, NC 28677 Phone: 704-881-0990 Fax: 704-872-8541 | |
George R. Rankin Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 734 Hartness Rd, Statesville, NC 28677 Phone: 704-872-6534 Fax: 704-872-9407 | |
Gary N Gaither Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 North Mulberry Street, Statesville, NC 28677 Phone: 704-873-8465 | |
Orbie E Ottey Jr Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 Glenway Dr. Ste A, Statesville, NC 28625 Phone: 704-252-5793 | |
Robert Scott Nance, Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Davie Ave, Statesville, NC 28677 Phone: 704-924-7650 Fax: 704-924-7178 |