| Locust Pediatric Dentistry | |
|
236 Market St Suite 200 Locust NC 28097-9438 | |
| (704) 604-0353 | |
| Not Available |
| Full Name | Locust Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 236 Market St, Locust, North Carolina |
| Authorized Official Name and Position | Lucenda Harris (CREDENTIALING & CONTRACTING COORDIN) |
| Authorized Official Contact | 9807295200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locust Pediatric Dentistry Po Box 530172 Atlanta GA 30353-0172 Ph: (980) 729-5200 | Locust Pediatric Dentistry 236 Market St Suite 200 Locust NC 28097-9438 Ph: (704) 604-0353 |
| NPI Number | 1619418076 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619418076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9277 (North Carolina) | Primary |
David E Thome Dds Pllc I Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Market St Ste 200, Locust, NC 28097 Phone: 980-354-8154 | |
Drs. Martin And Brune, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Professional Park Drive, Locust, NC 28097 Phone: 704-781-0500 Fax: 704-781-0555 | |
Wael Zeitouni, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 S Central Ave, Locust, NC 28097 Phone: 704-888-6247 |