| Courtney Mitchell, Iii Dds Pa | |
|
2500 N. Herritage St. Suite A Kinsten NC 28501 | |
| (252) 522-4313 | |
| (252) 522-5777 |
| Full Name | Courtney Mitchell, Iii Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2500 N. Herritage St., Kinsten, North Carolina |
| Authorized Official Name and Position | Courtney Mitchell (DENTIST) |
| Authorized Official Contact | 2525224313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Mitchell, Iii Dds Pa 2500 N Herritage St. Suite A Kinsten NC 28501 Ph: (252) 522-4313 | Courtney Mitchell, Iii Dds Pa 2500 N. Herritage St. Suite A Kinsten NC 28501 Ph: (252) 522-4313 |
| NPI Number | 1023459757 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023459757 | NPI | - | NPPES |
| 8995998 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4376 (North Carolina) | Primary |