Organization
COUNTY OF HAYWOOD
Active
Parent organization
HAYWOOD COUNTY HEALTH DEPT-DENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAYWOOD COUNTY HEALTH DEPT-DENTAL HEALTH
Authorized official
PATRICK H. JOHNSON RN C,MPA,PUBLIC HEAL (PUBLIC HEALTH DIRECTOR)
(828) 452-6675
Entity
Organization
Contact information
Practice address
157 PARAGON PARKWAY, SUITE 700, CLYDE, NC 28721
(828) 452-6701
(828) 452-6619
Mailing address
157 PARAGON PARKWAY, SUITE 700, CLYDE, NC 28721
(828) 452-6701
(828) 452-6619
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61473
BLUE CROSS BLUE SHIELD
NC
Enumeration date
07/10/2012
Last updated
10/31/2016
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