| Kristin Main Dds, Pllc | |
|
110 Village Rd Ne Unit A Leland NC 28451-7412 | |
| (910) 371-0966 | |
| (910) 371-0968 |
| Full Name | Kristin Main Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 Village Rd Ne Unit A, Leland, North Carolina |
| Authorized Official Name and Position | Kristin L Main (OWNER DENTIST) |
| Authorized Official Contact | 6164031510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Main Dds, Pllc 110 Village Rd Ne Unit A Leland NC 28451-7412 Ph: (910) 371-0966 | Kristin Main Dds, Pllc 110 Village Rd Ne Unit A Leland NC 28451-7412 Ph: (910) 371-0966 |
| NPI Number | 1609503036 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609503036 | NPI | - | NPPES |
| 1609005859 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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