is a Dental Clinic in Leland, North Carolina. It is located at 509 Olde Waterford Way, 300, Leland, NC and its contact number is 910-383-0100. The authorized person for is Christopher J Clark
who is Owner of the clinic and their contact number is 910-383-0100. The primary license number for is 7917 (General Practice) in North Carolina. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
509 Olde Waterford Way, 300, Leland, North Carolina, 28451-4125
Phone:
910-383-0100
Fax:
910-383-0121
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Christopher J Clark
Position:
Owner
Contact Number:
910-383-0100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1659540037
NPI Enumeration Date:
29 Feb, 2008
NPI Last Update On:
23 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
7917
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5906097
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
509 Olde Waterford Way, 300 Leland, North Carolina
Zip:
28451-4125
Phone Number:
910-383-0100
Fax Number:
910-383-0121
Patients can reach at 509 Olde Waterford Way, 300, Leland, North Carolina or can call to book an appointment on 910-383-0100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.