# APPALACHIAN DISTRICT HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APPALACHIAN DISTRICT HEALTH DEPARTMENT
- **Other names:** AppHealth Dental-SBHC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134670607
- **Legal business name:** APPALACHIAN DISTRICT HEALTH DEPARTMENT
- **Authorized official:** DARYL BETH LOVETTE (HEALTH DIRECTOR)
- **Authorized official phone:** (828) 264-4995

## Contact information

- **Practice address:** 255 NORTHWEST LN, WARRENSVILLE, NC 28693-9244
- **Practice address phone:** (336) 384-1625
- **Mailing address:** PO BOX 208, JEFFERSON, NC 28640-0208
- **Mailing address phone:** (336) 246-9449
- **Mailing address fax:** (336) 246-8163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10356 | NC | Yes |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 12/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285081562 | NPI FOR MEDICAL CLINIC | NC |