# JOHN L. CLONINGER, III, D.D.S., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285808469
- **Authorized official:** DR. JOHN L CLONINGER III DDS, PLLC (PRESIDENT)
- **Authorized official phone:** (704) 735-0765

## Contact information

- **Practice address:** 904 DONITA DR, LINCOLNTON, NC 28092-3643
- **Practice address phone:** (704) 735-0765
- **Practice address fax:** (704) 735-4506
- **Mailing address:** 904 DONITA DR, LINCOLNTON, NC 28092-3643
- **Mailing address phone:** (704) 735-0765
- **Mailing address fax:** (704) 735-4506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 148930391 | DELTA DENTAL | — |
| 01 | — | 873537 | UNITED CONCORDIA | — |
| 05 | — | 8991684 | — | NC |
| 01 | — | 91684 | BCBS | — |