Forsyth County Dba Cleveland Avenue Dental Center

LBN: Forsyth County Dba Cleveland Avenue Dental Center
Forsyth County Dba Cleveland Avenue Dental Center is an health care organization with primary practice located at 501 N Cleveland Ave Ste 1 , Winston Salem NC 27101-4366. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. Forsyth County Dba Cleveland Avenue Dental Center can be contacted via phone (336) 703-3101, or through Swift, Josh via phone (336) 703-3117.

Contact Information

Primary practice address
501 N Cleveland Ave Ste 1 Winston Salem NC 27101-4366
Phone: (336) 703-3101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Swift, Josh
Phone: (336) 703-3117

Health care specialties

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

Profile Details

NPI number 1346626587
LBN Legal business name Forsyth County Dba Cleveland Avenue Dental Center
DBA Doing business as
Authorized official Swift, Josh
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 10th, 2015
Last updated Feb 27th, 2024 - about last year

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 1346626587 NPPES
North Carolina MEDICAID 3404334

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