Anderson And Slack Pa

LBN: Anderson And Slack Pa
Anderson And Slack Pa is an health care organization with primary practice located at 200 Doctors Drive Suite F, Jacksonville NC 28546. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Anderson And Slack Pa can be contacted via phone (910) 353-4242, or through Anderson, Wayne Clark via phone (910) 353-4242.

Contact Information

Primary practice address
200 Doctors Drive Suite F Jacksonville NC 28546
Phone: (910) 353-4242
Fax: (910) 577-6421
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Wayne Clark Doctor of Dental Surgery (DDS)
Phone: (910) 353-4242

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2996 North Carolina

Profile Details

NPI number 1508976440
LBN Legal business name Anderson And Slack Pa
DBA Doing business as
Authorized official Anderson, Wayne Clark Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1508976440 NPPES
North Carolina Other 2996 DELTA
North Carolina Other 02211 DELTA
North Carolina MEDICAID 8990244 DELTA

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