| Madelyn Shore, Dmd, Pllc | |
|
271 Howard Blvd Newport NC 28570-7927 | |
| (252) 223-4161 | |
| (252) 223-2442 |
| Full Name | Madelyn Shore, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 271 Howard Blvd, Newport, North Carolina |
| Authorized Official Name and Position | Madelyn Gray Shore (OWNER) |
| Authorized Official Contact | 3369095777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madelyn Shore, Dmd, Pllc Po Box 309 Newport NC 28570-0309 Ph: (252) 223-4161 | Madelyn Shore, Dmd, Pllc 271 Howard Blvd Newport NC 28570-7927 Ph: (252) 223-4161 |
| NPI Number | 1174121099 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174121099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |