| Apphealth Dental-ashe | |
|
225 Court St Jefferson NC 28640-9696 | |
| (336) 246-9449 | |
| Not Available |
| Full Name | Apphealth Dental-ashe |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 225 Court St, Jefferson, North Carolina |
| Authorized Official Name and Position | Danielle Dougherty (CREDENTIALER/BILLING COORDINATOR) |
| Authorized Official Contact | 3362469449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apphealth Dental-ashe Po Box 208 Jefferson NC 28640-0208 Ph: (336) 246-9449 | Apphealth Dental-ashe 225 Court St Jefferson NC 28640-9696 Ph: (336) 246-9449 |
| NPI Number | 1043761513 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043761513 | NPI | - | NPPES |
| 2344747A | Other | NC | MEDICARE PTAN |
| 3404305 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10356 (North Carolina) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Joel W. Yates Jr. D.d.s. P.l.l.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E Main St, Jefferson, NC 28640 Phone: 336-846-2323 Fax: 336-846-5635 |