| Goshen Medical Center - Whiteville Dental Services | |
|
5 Whiteville Town Ctr Whiteville NC 28472-4929 | |
| (910) 212-6613 | |
| (910) 267-8986 |
| Full Name | Goshen Medical Center - Whiteville Dental Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5 Whiteville Town Ctr, Whiteville, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102671237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Whiteville Dental Services Po Box 187 Faison NC 28341-0187 Ph: (910) 212-6613 | Goshen Medical Center - Whiteville Dental Services 5 Whiteville Town Ctr Whiteville NC 28472-4929 Ph: (910) 212-6613 |
| NPI Number | 1629584156 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629584156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
W.sidney Gibson, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-7741 Fax: 910-640-2373 | |
Whiteville Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-7741 | |
Darryl James Diefes,dds,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-6500 Fax: 910-642-7581 | |
William W Pringle Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 S Franklin St, Whiteville, NC 28472 Phone: 910-640-3070 Fax: 910-640-3070 | |
Samuel G. Koonce, Jr., Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-4529 |