| Southern Dental Associates | |
|
6570 Shallowford Rd Lewisville NC 27023-8651 | |
| (336) 945-5555 | |
| (336) 945-0125 |
| Full Name | Southern Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 6570 Shallowford Rd, Lewisville, North Carolina |
| Authorized Official Name and Position | Dacia Eilert-holcomb (OFFICE MANAGER) |
| Authorized Official Contact | 3369455555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Associates 6570 Shallowfrod Road Lewisville NC 27023 Ph: (336) 945-5555 | Southern Dental Associates 6570 Shallowford Rd Lewisville NC 27023-8651 Ph: (336) 945-5555 |
| NPI Number | 1760719843 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760719843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Hillsdale Dental-lewisville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Lewisville Clemmons Rd, Lewisville, NC 27023 Phone: 336-608-3676 |