| Cherryville Dental Clinic | |
|
106 N Mountain St Cherryville NC 28021-2941 | |
| (704) 435-6916 | |
| (704) 435-6811 |
| Full Name | Cherryville Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 106 N Mountain St, Cherryville, North Carolina |
| Authorized Official Name and Position | Paul Hunter Cloninger (OWNER) |
| Authorized Official Contact | 7044356916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherryville Dental Clinic 1015 E Church St Cherryville NC 28021-2916 Ph: (704) 435-6916 | Cherryville Dental Clinic 106 N Mountain St Cherryville NC 28021-2941 Ph: (704) 435-6916 |
| NPI Number | 1386828614 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386828614 | NPI | - | NPPES |
| 899013A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7118 (North Carolina) | Primary |