| Mission Health Community Multispecialty Providers, Llc | |
|
11 Vanderbilt Park Dr Asheville NC 28803-1700 | |
| (828) 213-1740 | |
| Not Available |
| Full Name | Mission Health Community Multispecialty Providers, Llc |
|---|---|
| Speciality | Dentist |
| Location | 11 Vanderbilt Park Dr, Asheville, North Carolina |
| Authorized Official Name and Position | Tedrick Johnson (GROUP VICE PRESIDENT) |
| Authorized Official Contact | 6153723755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Health Community Multispecialty Providers, Llc Po Box 603366 Charlotte NC 28260-3366 Ph: (828) 213-1500 | Mission Health Community Multispecialty Providers, Llc 11 Vanderbilt Park Dr Asheville NC 28803-1700 Ph: (828) 213-1740 |
| NPI Number | 1376013243 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376013243 | NPI | - | NPPES |
| 02CG9 | Other | NC | BC/BS NC |
| 1376013243 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Travis J. Calhoun, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Medical Park Dr, Suite B, Asheville, NC 28803 Phone: 828-277-2722 Fax: 828-277-2724 | |
Brent Barroso-bernier, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 627 Haywood Rd, Asheville, NC 28806 Phone: 828-255-8676 Fax: 828-252-1074 | |
Dan Knechtel, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Elkwood Ave, Asheville, NC 28804 Phone: 828-575-2345 Fax: 864-575-2346 | |
Timothy C. Scanlan, Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Vanderbilt Park Dr Ste 110, Asheville, NC 28803 Phone: 828-254-4602 | |
Jennifer C. Jackson, Dmd, Mph, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Peachtree Rd, Suite 100, Asheville, NC 28803 Phone: 828-277-6788 Fax: 828-277-6798 | |
Callan White Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Brevard Road, Asheville, NC 28806 Phone: 828-670-9394 | |
Mountain Area Health Education Center, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 123 Hendersonville Rd, Asheville, NC 28803 Phone: 828-252-4290 Fax: 828-333-5871 |