| Goodrich Dental | |
|
125 Murray Hill Rd Ste G Southern Pines NC 28387-6354 | |
| (910) 693-1977 | |
| (910) 693-1877 |
| Full Name | Goodrich Dental |
|---|---|
| Speciality | Dentist |
| Location | 125 Murray Hill Rd, Southern Pines, North Carolina |
| Authorized Official Name and Position | Matthew Phillip Goodrich (DENTIST) |
| Authorized Official Contact | 9106931977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodrich Dental 125 Murray Hill Rd Ste G Southern Pines NC 28387-6354 Ph: (910) 693-1977 | Goodrich Dental 125 Murray Hill Rd Ste G Southern Pines NC 28387-6354 Ph: (910) 693-1977 |
| NPI Number | 1497115273 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497115273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10153 (North Carolina) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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Carolina Center For Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Murray Hill Rd, Suite A, Southern Pines, NC 28387 Phone: 910-692-5250 Fax: 910-693-8072 | |
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