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Organization
JOHN L. CLONINGER, III, D.D.S., PLLC
Active
Organization
JOHN L. CLONINGER, III, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L CLONINGER III DDS, PLLC (PRESIDENT)
(704) 735-0765
Entity
Organization
Contact information
Practice address
904 DONITA DR, LINCOLNTON, NC 28092-3643
(704) 735-0765
(704) 735-4506
Mailing address
904 DONITA DR, LINCOLNTON, NC 28092-3643
(704) 735-0765
(704) 735-4506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148930391
DELTA DENTAL
—
01
—
873537
UNITED CONCORDIA
—
05
—
8991684
—
NC
01
—
91684
BCBS
—
Enumeration date
04/17/2008
Last updated
04/23/2024
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