| Bryan R Neuwirth Dds Md Pc | |
|
261 18th St Cr Se Hickory NC 28602-1362 | |
| (828) 327-7867 | |
| (828) 327-6299 |
| Full Name | Bryan R Neuwirth Dds Md Pc |
|---|---|
| Speciality | Dentist |
| Location | 261 18th St Cr Se, Hickory, North Carolina |
| Authorized Official Name and Position | Rebecca B Mckenzie (OFFICE MANAGER) |
| Authorized Official Contact | 8283277867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan R Neuwirth Dds Md Pc 261 18th St Cr Se Hickory NC 28602-1362 Ph: (828) 327-7867 | Bryan R Neuwirth Dds Md Pc 261 18th St Cr Se Hickory NC 28602-1362 Ph: (828) 327-7867 |
| NPI Number | 1578747507 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 8527048776 |
|---|---|
| Medicare Enrollment ID | O20040720001339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578747507 | NPI | - | NPPES |
| 2339122 | Other | NC | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 36121 (North Carolina) | Primary |
| Provider Name | Bryan R Neuwirth |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427052950 PECOS PAC ID: 3870573033 Enrollment ID: I20040730000124 |
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