# BETANCOURT, PINNIX, PHELPS, & GRIMES DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkwood Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336473982
- **Authorized official:** DR. CHRISTOPHER LATHAM PHELPS DMD (COPRESIDENT)
- **Authorized official phone:** (704) 845-1107

## Contact information

- **Practice address:** 400 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2485
- **Practice address phone:** (336) 835-5579
- **Practice address fax:** (336) 835-2639
- **Mailing address:** 400 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2485
- **Mailing address phone:** (336) 835-5579
- **Mailing address fax:** (336) 835-2639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7648 | NC | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 09/30/2009