| Douglas A Tutterow Dds Pa | |
|
4680 Yadkinville Rd Pfafftown NC 27040-8622 | |
| (336) 924-9555 | |
| (336) 924-3168 |
| Full Name | Douglas A Tutterow Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4680 Yadkinville Rd, Pfafftown, North Carolina |
| Authorized Official Name and Position | Douglas Alan Tutterow (PRESIDENT) |
| Authorized Official Contact | 3369249555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Tutterow Dds Pa 4680 Yadkinville Rd Pfafftown NC 27040-8622 Ph: (336) 924-9555 | Douglas A Tutterow Dds Pa 4680 Yadkinville Rd Pfafftown NC 27040-8622 Ph: (336) 924-9555 |
| NPI Number | 1306980362 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306980362 | NPI | - | NPPES |
| 4998654 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5245 (North Carolina) | Primary |