Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Gaston Family Health Services DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
MS. KAREN F. EDWARDS (DENTAL BUSINESS ADMINISTRATOR)
(704) 862-6182
Entity
Organization
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 862-6182
(704) 671-1404
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 862-6182
(704) 671-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344574D
—
NC
Enumeration date
03/13/2013
Last updated
03/13/2013
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