| Salisbury Pediatric Dentistry | |
|
140 Mahaley Ave Ste B Salisbury NC 28144-2449 | |
| (980) 729-5200 | |
| Not Available |
| Full Name | Salisbury Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 140 Mahaley Ave Ste B, Salisbury, North Carolina |
| Authorized Official Name and Position | Lucenda Harris (CREDENTIALING AND CONTRACTING COORD) |
| Authorized Official Contact | 9807295200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salisbury Pediatric Dentistry 140 Mahaley Ave Ste B Salisbury NC 28144-2449 Ph: (980) 729-5200 | Salisbury Pediatric Dentistry 140 Mahaley Ave Ste B Salisbury NC 28144-2449 Ph: (980) 729-5200 |
| NPI Number | 1770218190 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770218190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
Todd R. Tibbs, D.D.S., P.A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1933 Jake Alexander Blvd. West, Suite 203, Salisbury, NC 28147 Phone: 704-633-1799 |
James K. Jolly, D.d.s, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Salisbury, NC 28146 Phone: 704-633-7117 Fax: 704-633-4637 |
Nicholas James Penna D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 Brenner Ave, Salisbury, NC 28144 Phone: 704-633-5942 Fax: 704-639-0237 |
Anderson Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 E Innes St, Suite 2, Salisbury, NC 28146 Phone: 704-636-3611 Fax: 704-636-3694 |
David E Thome DDS PLLC L1 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Mahaley Ave Ste B, Salisbury, NC 28144 Phone: 704-637-5506 |
J David Boyd DDS PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 644 Statesville Blvd, Ste #4, Salisbury, NC 28144 Phone: 704-636-1533 Fax: 704-636-5514 |