# LINER, WARD & SHOBE DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINER, WARD & SHOBE DDS, PA
- **Other names:** Southern Dental Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578139499
- **Legal business name:** LINER, WARD & SHOBE DDS, PA
- **Authorized official:** MRS. DACIA K EILERT-HOLCOMB (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (336) 945-5555

## Contact information

- **Practice address:** 1370 PIEDMONT DR STE 200, LEXINGTON, NC 27295-2053
- **Practice address phone:** (336) 249-9100
- **Mailing address:** 6570 SHALLOWFORD RD, LEWISVILLE, NC 27023-8651
- **Mailing address phone:** (336) 945-5555
- **Mailing address fax:** (336) 945-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 02/28/2024