| Hushang Ghodrat Dds, Pa | |
|
2552 Capitol Dr Suite 101 Creedmoor NC 27522-9451 | |
| (919) 528-9500 | |
| (919) 528-9556 |
| Full Name | Hushang Ghodrat Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2552 Capitol Dr, Creedmoor, North Carolina |
| Authorized Official Name and Position | Jamie M. Brummitt (OFFICE MANGAER) |
| Authorized Official Contact | 9195289500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hushang Ghodrat Dds, Pa 2552 Capitol Dr Suite 101 Creedmoor NC 27522-9451 Ph: (919) 528-9500 | Hushang Ghodrat Dds, Pa 2552 Capitol Dr Suite 101 Creedmoor NC 27522-9451 Ph: (919) 528-9500 |
| NPI Number | 1659582187 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659582187 | NPI | - | NPPES |
| 5900569 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6984 (North Carolina) | Primary |
Koren & Associates, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Church St, Creedmoor, NC 27522 Phone: 919-528-0800 | |
Benjamin Koren, D.d.s. Iii. P.a, Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Church St, Creedmoor, NC 27522 Phone: 919-528-4004 Fax: 919-528-2211 | |
Kyle J Roth Iv Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Main St, Creedmoor, NC 27522 Phone: 919-528-8700 | |
Kenneth R Marsh Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1582 Hwy 56, Creedmoor, NC 27522 Phone: 919-528-1980 Fax: 919-528-8610 | |
D. H. Lee Dmd Pa Creedmoor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Main St, Creedmoor, NC 27522 Phone: 919-528-8700 |