| Collins & Sampson Dds Pa | |
|
312 E. Wardell Rd Pembroke NC 28372-9262 | |
| (910) 521-8646 | |
| (910) 521-8643 |
| Full Name | Collins & Sampson Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 312 E. Wardell Rd, Pembroke, North Carolina |
| Authorized Official Name and Position | Lea B Hunt (INSURANE COORDNATOR) |
| Authorized Official Contact | 9105218646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins & Sampson Dds Pa 312 E. Wardell Rd Po Box 2049 Pembroke NC 28372-9262 Ph: (910) 521-8646 | Collins & Sampson Dds Pa 312 E. Wardell Rd Pembroke NC 28372-9262 Ph: (910) 521-8646 |
| NPI Number | 1083650881 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083650881 | NPI | - | NPPES |
| 890116X | Medicaid | NC | |
| 8991735 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0836 (North Carolina) | Primary |
Ronnie Lowery, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 New Horizons Drive, Pembroke, NC 28372 Phone: 910-521-6065 Fax: 910-521-6021 |