Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT
Active
Organization
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT
Active
Other names
Martin Tyrrell Washington District Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA B PHELPS (ADMINISTRATIVE ASSISTANT II)
(252) 793-3023
Entity
Organization
Contact information
Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 793-3023
(252) 791-3159
Mailing address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 793-3023
(252) 791-3159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07059
BLUE CROSS
NC
05
—
3404410
—
NC
Enumeration date
11/30/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers