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Organization

COUNTY OF WILKES

Active
Other names
Dental Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
BETH LOVETTE (HEALTH DIRECTOR)
(336) 651-7450
Entity
Organization

Contact information

Practice address
1915 WEST PARK DRIVE, NORTH WILKESBORO, NC 28659
(336) 903-9399
(336) 903-0464
Mailing address
306 COLLEGE ST, WILKESBORO, NC 28697-2854
(336) 651-7450
(336) 651-7472

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
261QP0905X
State or Local Public Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07095
BLUECROSSBLUESHIELD
NC
05
3404450
NC
Enumeration date
12/20/2006
Last updated
09/11/2025
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