Organization
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Active
Other names
McGill Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DON HOLLOMAN M. ED (CEO)
(704) 792-2203
Entity
Organization
Contact information
Practice address
202D MCGILL AVE NW, CONCORD, NC 28025-4615
(704) 792-2242
Mailing address
202D MCGILL AVE NW, CONCORD, NC 28025-4615
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
—
334071A
—
NC
Enumeration date
11/04/2022
Last updated
11/29/2022
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