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Organization
SCOTT M. CLINARD, D.D.S., P.A.
Active
Organization
SCOTT M. CLINARD, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M CLINARD D.D.S. (PRESIDENT)
(704) 864-8896
Entity
Organization
Contact information
Practice address
571 COX RD, SUITE A, GASTONIA, NC 28054
(704) 864-8896
(704) 865-3879
Mailing address
571 COX RD, SUITE A, GASTONIA, NC 28054-0632
(704) 864-8896
(704) 865-3879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465292
UNITED CONCORDIA PROVIDER
NC
01
—
91669
BLUE CROSS PROVIDER NUMBE
NC
Enumeration date
08/03/2006
Last updated
07/09/2018
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