| Desalvo And Russell Llp | |
|
901 N Lindsay St High Point NC 27262-3903 | |
| (336) 884-8771 | |
| (336) 884-8770 |
| Full Name | Desalvo And Russell Llp |
|---|---|
| Speciality | Dentist |
| Location | 901 N Lindsay St, High Point, North Carolina |
| Authorized Official Name and Position | Gary Joseph Desalvo (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3368848771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desalvo And Russell Llp 901 N Lindsay St High Point NC 27262-3903 Ph: (336) 884-8771 | Desalvo And Russell Llp 901 N Lindsay St High Point NC 27262-3903 Ph: (336) 884-8771 |
| NPI Number | 1194758656 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/01/2017 |
| Medicare PECOS PAC ID | 8426247362 |
|---|---|
| Medicare Enrollment ID | O20110107000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194758656 | NPI | - | NPPES |
| 6901827 | Medicaid | NC | |
| 01827 | Other | NC | BCBS GROUP IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4854 (North Carolina) | Primary |
| Provider Name | Robert Russell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699791921 PECOS PAC ID: 4486843323 Enrollment ID: I20110107000951 |
| Provider Name | Gary Desalvo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1689699084 PECOS PAC ID: 2668661505 Enrollment ID: I20110110000799 |
| Provider Name | Albert R Newsome |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144675422 PECOS PAC ID: 4486945326 Enrollment ID: I20210721000512 |
R. E. Martin, Jr., Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Phillips Ave Ste 103, High Point, NC 27262 Phone: 335-889-4733 | |
Eric J Hartzell Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3931 Tinsley Drive, Suite 101, High Point, NC 27265 Phone: 336-886-8776 Fax: 336-886-8806 | |
Bertrand A Bonnick Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2783 Nc Highway 68 S, Suite #107, High Point, NC 27265 Phone: 336-841-0000 Fax: 336-841-0001 | |
Alles & Associates North Carolina Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1589 Skeet Club Rd Ste 150, High Point, NC 27265 Phone: 336-450-2078 Fax: 336-419-4750 | |
Ryan, James, Wiles, Patel & Olsen Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Hutton Ln Ste 112, High Point, NC 27262 Phone: 336-887-9277 | |
Dr George M Wallace Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Elm St, High Point, NC 27262 Phone: 336-882-4181 Fax: 336-464-2166 | |
Bradley A. Samuel Dds., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N. Lindsay Street, High Point, NC 27262 Phone: 336-883-2316 Fax: 336-883-7686 |