| Carolinasdentist.com | |
|
620 Lillington Hwy Spring Lake NC 28390-2119 | |
| (919) 225-0613 | |
| Not Available |
| Full Name | Carolinasdentist.com |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 620 Lillington Hwy, Spring Lake, North Carolina |
| Authorized Official Name and Position | Eric J Roman (OWNER) |
| Authorized Official Contact | 9192250613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinasdentist.com Po Box 500 Spring Lake NC 28390-0500 Ph: () - | Carolinasdentist.com 620 Lillington Hwy Spring Lake NC 28390-2119 Ph: (919) 225-0613 |
| NPI Number | 1407294200 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407294200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8397 (* (Not Available)) | Primary |
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