| Dr. Kent S. Denton | |
|
515 S Caswell St La Grange NC 28551-2005 | |
| (252) 566-9616 | |
| (252) 566-4910 |
| Full Name | Dr. Kent S. Denton |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 S Caswell St, La Grange, North Carolina |
| Authorized Official Name and Position | Kent Swindell Denton (OWNER) |
| Authorized Official Contact | 2525669616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kent S. Denton Po Box 8 La Grange NC 28551-0008 Ph: (252) 566-9616 | Dr. Kent S. Denton 515 S Caswell St La Grange NC 28551-2005 Ph: (252) 566-9616 |
| NPI Number | 1902083876 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902083876 | NPI | - | NPPES |
| 92125 | Other | BLUE CROSS BLUE SHIELD | |
| 816475 | Other | UNITED CONCORDIA | |
| 8992125 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3438 (North Carolina) | Primary |
Lane And Associates Xlvii Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 S Caswell St, La Grange, NC 28551 Phone: 252-566-9616 |