| Carousel Dentistry | |
|
5310 Nc Highway 55 Suite 103 Durham NC 27713-7813 | |
| (919) 361-1998 | |
| (919) 484-7432 |
| Full Name | Carousel Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5310 Nc Highway 55, Durham, North Carolina |
| Authorized Official Name and Position | Gregory Joseph Perentis (DENTIST) |
| Authorized Official Contact | 9193611998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carousel Dentistry 5310 Nc Highway 55 Suite 103 Durham NC 27713-7813 Ph: (919) 361-1998 | Carousel Dentistry 5310 Nc Highway 55 Suite 103 Durham NC 27713-7813 Ph: (919) 361-1998 |
| NPI Number | 1700081072 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700081072 | NPI | - | NPPES |
| 89014R5 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7244 (North Carolina) | Primary |
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