# ASHEBORO FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIONEL NELSON DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831488493
- **Legal business name:** LIONEL NELSON DENTISTRY
- **Authorized official:** DR. LIONEL MATTHEW NELSON SR. DMD (OWNER)
- **Authorized official phone:** (919) 489-0497

## Contact information

- **Practice address:** 350 N. COX STREET, SUITE 11, ASHEBORO, NC 27203-5514
- **Practice address phone:** (336) 629-6488
- **Practice address fax:** (336) 629-4441
- **Mailing address:** 350 N. COX STREET, SUITE 11, ASHEBORO, NC 27203-5514
- **Mailing address phone:** (336) 629-6488
- **Mailing address fax:** (336) 629-4441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7158 | NC | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 04/05/2011