| Samuel G. Koonce, Jr., Dds, Pa | |
|
900 Spivey Rd Whiteville NC 28472-2915 | |
| (910) 642-4529 | |
| Not Available |
| Full Name | Samuel G. Koonce, Jr., Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 900 Spivey Rd, Whiteville, North Carolina |
| Authorized Official Name and Position | Samuel Grady Koonce (PRESIDENT) |
| Authorized Official Contact | 9106424529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel G. Koonce, Jr., Dds, Pa 900 Spivey Rd Po Box 965 Whiteville NC 28472-2915 Ph: (910) 642-4529 | Samuel G. Koonce, Jr., Dds, Pa 900 Spivey Rd Whiteville NC 28472-2915 Ph: (910) 642-4529 |
| NPI Number | 1689842163 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 02/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689842163 | NPI | - | NPPES |
| 8995053 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4365 (North Carolina) | Primary |
W.sidney Gibson, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-7741 Fax: 910-640-2373 | |
Schut And Associates 1, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-7741 | |
Darryl James Diefes,dds,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Spivey Rd, Whiteville, NC 28472 Phone: 910-642-6500 Fax: 910-642-7581 | |
Goshen Medical Center, Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Whiteville Town Ctr, Whiteville, NC 28472 Phone: 910-212-6613 Fax: 910-267-8986 | |
William W Pringle Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 S Franklin St, Whiteville, NC 28472 Phone: 910-640-3070 Fax: 910-640-3070 |