| Tarheel Family Dentistry | |
|
109 Conner Dr Ste 2100 Chapel Hill NC 27514-7041 | |
| (919) 442-1670 | |
| (919) 442-1675 |
| Full Name | Tarheel Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 109 Conner Dr Ste 2100, Chapel Hill, North Carolina |
| Authorized Official Name and Position | William Jae Lee (OWNER) |
| Authorized Official Contact | 9194421670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarheel Family Dentistry 109 Conner Dr Ste 2100 Chapel Hill NC 27514-7041 Ph: (919) 442-1670 | Tarheel Family Dentistry 109 Conner Dr Ste 2100 Chapel Hill NC 27514-7041 Ph: (919) 442-1670 |
| NPI Number | 1386954600 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386954600 | NPI | - | NPPES |
| 5917217 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7783 (North Carolina) | Primary |
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