Organization
COUNTY OF CLEVELAND NORTH CAROLINA
Active
Parent organization
COUNTY OF CLEVELAND NORTH CAROLINA
Other names
Cleveland County Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF CLEVELAND NORTH CAROLINA
Authorized official
DOROTHEA WYANT (HEALTH DIRECTOR)
(704) 484-5100
Entity
Organization
Contact information
Practice address
315 E GROVER ST, SHELBY, NC 28150-3919
(704) 484-5100
(704) 484-5220
Mailing address
315 E GROVER ST, SHELBY, NC 28150-3919
(704) 484-5100
(704) 484-5220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344813
—
NC
Enumeration date
06/18/2014
Last updated
06/18/2014
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