| Dr Giovanni Castro, DMD | |
|
9409 Nc Highway 305, Jackson, NC 27845-9679 | |
| (252) 536-5920 | |
| (252) 519-0154 |
| Full Name | Dr Giovanni Castro |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 9409 Nc Highway 305, Jackson, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467198028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 13265 (North Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 13265 (North Carolina) | Primary |
| Entity Name | Advance Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245223783 PECOS PAC ID: 3577471697 Enrollment ID: O20040824000695 |
| Entity Name | Rural Health Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689626178 PECOS PAC ID: 9739090226 Enrollment ID: O20050708000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Giovanni Castro, DMD Po Box 640, Roanoke Rapids, NC 27870-0640 Ph: (252) 536-5844 | Dr Giovanni Castro, DMD 9409 Nc Highway 305, Jackson, NC 27845-9679 Ph: (252) 536-5920 |
Ahmed Adel Mohamed Fathy, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9425 Nc-305, Jackson, NC 27845 Phone: 252-534-1661 | |
Dr. Megan Kathleen Farrelly, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9409 Nc Hwy 305, Jackson, NC 27845 Phone: 252-536-5920 Fax: 252-534-2041 |