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Organization
DR DAVID G DICKERHOFF DDS & ASSOCIATES PA
Active
Organization
DR DAVID G DICKERHOFF DDS & ASSOCIATES PA
Active
Other names
Spring Lake Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MICHELE CARR FINCH (OFFICE MANAGER)
(910) 497-3200
Entity
Organization
Contact information
Practice address
103 SUPERIOR DRIVE, SPRING LAKE, NC 28390
(910) 497-3200
(910) 497-2209
Mailing address
103 SUPERIOR DRIVE, SPRING LAKE, NC 28390
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137Y
BLUE CROSS BLUE SHIELD
—
01
—
714367
UNITED CONCORDIA
—
Enumeration date
10/31/2006
Last updated
08/22/2020
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