Cleveland County Dental Clinic

LBN: County Of Cleveland North Carolina
Cleveland County Dental Clinic is an health care organization with primary practice located at 315 E Grover St , Shelby NC 28150-3919. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Public Health, State or Local. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty. County Of Cleveland North Carolina can be contacted via phone (704) 484-5100, or through Wyant, Dorothea via phone (704) 484-5100.

Contact Information

Primary practice address
315 E Grover St Shelby NC 28150-3919
Phone: (704) 484-5100
Fax: (704) 484-5220
Website:
Map and Directions
Authorized official contact:
Name: Wyant, Dorothea
Phone: (704) 484-5100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1083028948
LBN Legal business name County Of Cleveland North Carolina
DBA Doing business as Cleveland County Dental Clinic
Authorized official Wyant, Dorothea
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 18th, 2014
Last updated Jun 18th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083028948 NPPES
North Carolina MEDICAID 2344813

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