| Shankar Venkat, BDS | |
|
315 Nc Highway 55 W, Mount Olive, NC 28365-8527 | |
| (919) 658-9555 | |
| Not Available |
| Full Name | Shankar Venkat |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 315 Nc Highway 55 W, Mount Olive, 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 |
|---|---|---|---|
| 1245716661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 0270 (North Carolina) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 14438 (North Carolina) | Primary |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Shankar Venkat, BDS 315 Nc Highway 55 W, Mount Olive, NC 28365-8527 Ph: (919) 658-9555 | Shankar Venkat, BDS 315 Nc Highway 55 W, Mount Olive, NC 28365-8527 Ph: (919) 658-9555 |
Dr. Amy Melissa Kimes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 236 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-658-9511 | |
Dr. Danny S Pender, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 234 Bert Martin Rd, Mount Olive, NC 28365 Phone: 919-658-5077 | |
Courtney Bullard Conn, DMD Dentist Medicare: Medicare Enrolled Practice Location: 315 Hwy 55, Mount Olive, NC 28365 Phone: 919-658-9555 |