Organization
APPALACHIAN DISTRICT HEALTH DEPARTMENT
Active
Parent organization
APPALACHIAN DISTRICT HEALTH DEPARTMENT
Other names
AppHealth Dental-SBHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN DISTRICT HEALTH DEPARTMENT
Authorized official
DARYL BETH LOVETTE (HEALTH DIRECTOR)
(828) 264-4995
Entity
Organization
Contact information
Practice address
255 NORTHWEST LN, WARRENSVILLE, NC 28693-9244
(336) 384-1625
Mailing address
PO BOX 208, JEFFERSON, NC 28640-0208
(336) 246-9449
(336) 246-8163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10356
NC
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285081562
NPI FOR MEDICAL CLINIC
NC
Enumeration date
10/20/2016
Last updated
12/28/2016
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