| John L. Cloninger, Iii, D.d.s., Pllc | |
|
904 Donita Dr Lincolnton NC 28092-3643 | |
| (704) 735-0765 | |
| (704) 735-4506 |
| Full Name | John L. Cloninger, Iii, D.d.s., Pllc |
|---|---|
| Speciality | Dentist |
| Location | 904 Donita Dr, Lincolnton, North Carolina |
| Authorized Official Name and Position | John L Cloninger (PRESIDENT) |
| Authorized Official Contact | 7047350765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John L. Cloninger, Iii, D.d.s., Pllc 904 Donita Dr Lincolnton NC 28092-3643 Ph: (704) 735-0765 | John L. Cloninger, Iii, D.d.s., Pllc 904 Donita Dr Lincolnton NC 28092-3643 Ph: (704) 735-0765 |
| NPI Number | 1285808469 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 0648697532 |
|---|---|
| Medicare Enrollment ID | O20200824001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285808469 | NPI | - | NPPES |
| 148930391 | Other | DELTA DENTAL | |
| 91684 | Other | BCBS | |
| 873537 | Other | UNITED CONCORDIA | |
| 8991684 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | John L Cloninger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356483739 PECOS PAC ID: 8729397161 Enrollment ID: I20200824001468 |
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