| The Dental Studio | |
|
9020 Senca Dr Ste 210 Wilmington NC 28411-6680 | |
| (910) 756-5100 | |
| (888) 756-7425 |
| Full Name | The Dental Studio |
|---|---|
| Speciality | Clinic/center |
| Location | 9020 Senca Dr Ste 210, Wilmington, North Carolina |
| Authorized Official Name and Position | Jacob Ross Long (OWNER/DENTIST) |
| Authorized Official Contact | 3046881713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Studio 9020 Senca Dr Ste 210 Wilmington NC 28411-6680 Ph: (910) 756-5100 | The Dental Studio 9020 Senca Dr Ste 210 Wilmington NC 28411-6680 Ph: (910) 756-5100 |
| NPI Number | 1184392300 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184392300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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