is a Dental Clinic in Wallace, North Carolina. It is located at 522 S Norwood St, Wallace, NC and its contact number is 910-285-7800. The authorized person for is Dr. Axon Darren Sholar
who is President/ownder of the clinic and their contact number is 910-285-7800. The primary license number for is 6268 (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:
522 S Norwood St, Wallace, North Carolina, 28466-1620
Phone:
910-285-7800
Fax:
910-285-6097
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:
Dr. Axon Darren Sholar
Position:
President/ownder
Contact Number:
910-285-7800
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:
1053561555
NPI Enumeration Date:
22 Sep, 2008
NPI Last Update On:
11 Jun, 2020
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
6268
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
1680308
Other
North Carolina
United Concordia
97800
Other
North Carolina
Bcbs
385397
Other
North Carolina
Trigon
8997800
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:
522 S Norwood St, Wallace, North Carolina
Zip:
28466-1620
Phone Number:
910-285-7800
Fax Number:
910-285-6097
Patients can reach at 522 S Norwood St, Wallace, North Carolina or can call to book an appointment on 910-285-7800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.