Martin Tyrrell Washington District Dental Clinic
LBN: Martin Tyrrell Washington District Health Dept
Martin Tyrrell Washington District Dental Clinic is an health care organization with primary practice located at 198 Nc Highway 45 N , Plymouth NC 27962-9232. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Martin Tyrrell Washington District Health Dept can be contacted via phone (252) 793-3023, or through Phelps, Ronda B via phone (252) 793-3023.
Contact Information
Primary practice address
198 Nc Highway 45 N
Plymouth NC 27962-9232
Phone: (252) 793-3023
Fax: (252) 791-3159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | North Carolina |
Profile Details
| NPI number | 1558345983 |
|---|---|
| LBN Legal business name | Martin Tyrrell Washington District Health Dept |
| DBA Doing business as | Martin Tyrrell Washington District Dental Clinic |
| Authorized official | Phelps, Ronda B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558345983 | NPPES |
| North Carolina | MEDICAID | 3404410 | |
| North Carolina | Other | 07059 |
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