| Rutherford Pediatric Dentistry | |
|
1637 College Ave Ste B Spindale NC 28160-0016 | |
| (828) 385-5081 | |
| Not Available |
| Full Name | Rutherford Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1637 College Ave Ste B, Spindale, 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 |
|---|---|
| Rutherford Pediatric Dentistry 1637 College Ave Ste B Spindale NC 28160-0016 Ph: (828) 385-5081 | Rutherford Pediatric Dentistry 1637 College Ave Ste B Spindale NC 28160-0016 Ph: (828) 385-5081 |
| NPI Number | 1215662630 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215662630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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