| S. Ross Penland Dmd Pa | |
|
1781 Tate Blvd Se Hickory NC 28602-4251 | |
| (828) 855-3779 | |
| (828) 855-3781 |
| Full Name | S. Ross Penland Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1781 Tate Blvd Se, Hickory, North Carolina |
| Authorized Official Name and Position | Samuel Ross Penland (PRESIDENT) |
| Authorized Official Contact | 8288553779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Ross Penland Dmd Pa 1781 Tate Blvd Se Hickory NC 28602-4251 Ph: (828) 855-3779 | S. Ross Penland Dmd Pa 1781 Tate Blvd Se Hickory NC 28602-4251 Ph: (828) 855-3779 |
| NPI Number | 1013351824 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 01/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013351824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9170 (North Carolina) | Primary |
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