| S. Ross Penland, Dmd, Pa-morganton, P.l.l.c | |
|
110 Juniper St Suite 200 Morganton NC 28655-4676 | |
| (828) 855-3779 | |
| (828) 855-3781 |
| Full Name | S. Ross Penland, Dmd, Pa-morganton, P.l.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Juniper St, Morganton, North Carolina |
| Authorized Official Name and Position | Samuel Ross Penland (PEDIATRIC DENTIST) |
| 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-morganton, P.l.l.c 110 Juniper St Suite 200 Morganton NC 28655-4676 Ph: (828) 855-3779 | S. Ross Penland, Dmd, Pa-morganton, P.l.l.c 110 Juniper St Suite 200 Morganton NC 28655-4676 Ph: (828) 855-3779 |
| NPI Number | 1881127298 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881127298 | NPI | - | NPPES |
| 1386871697 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9170 (North Carolina) | Primary |
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