| Salisbury Health Dental | |
|
330 Jake Alexander Blvd W Ste 103 Salisbury NC 28147-1385 | |
| (704) 519-2366 | |
| Not Available |
| Full Name | Salisbury Health Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 330 Jake Alexander Blvd W Ste 103, Salisbury, North Carolina |
| Authorized Official Name and Position | Don Holloman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7047922203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salisbury Health Dental 202 Mcgill Ave Nw Ste D Concord NC 28025-4615 Ph: (704) 792-2256 | Salisbury Health Dental 330 Jake Alexander Blvd W Ste 103 Salisbury NC 28147-1385 Ph: (704) 519-2366 |
| NPI Number | 1235801812 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235801812 | NPI | - | NPPES |
| 344535A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Todd R. Tibbs, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1933 Jake Alexander Blvd. West, Suite 203, Salisbury, NC 28147 Phone: 704-633-1799 | |
James K. Jolly, D.d.s, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Salisbury, NC 28146 Phone: 704-633-7117 Fax: 704-633-4637 | |
Nicholas James Penna D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 Brenner Ave, Salisbury, NC 28144 Phone: 704-633-5942 Fax: 704-639-0237 | |
Anderson Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Suite 2, Salisbury, NC 28146 Phone: 704-636-3611 Fax: 704-636-3694 | |
David E Thome Dds Pllc L1 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Mahaley Ave Ste B, Salisbury, NC 28144 Phone: 704-637-5506 | |
J David Boyd Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 644 Statesville Blvd, Ste #4, Salisbury, NC 28144 Phone: 704-636-1533 Fax: 704-636-5514 | |
Hetal Amin-patel, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Innes St, Salisbury, NC 28144 Phone: 704-633-2612 Fax: 704-314-0740 |