# HENDERSONVILLE PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1801170931
- **Authorized official:** MRS. AMBER ROBINSON ROWE (OFFICE MANAGER, DENTAL ASSISTANT)
- **Authorized official phone:** (828) 659-7323

## Contact information

- **Practice address:** 689 BLYTHE STREET CT, SUITE B, HENDERSONVILLE, NC 28739-4098
- **Practice address phone:** (828) 696-2227
- **Mailing address:** 689 BLYTHE STREET CT, SUITE B, HENDERSONVILLE, NC 28739-4098
- **Mailing address phone:** (828) 696-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7460 | NC | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5900625 | — | NC |