Organization
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Active
Other names
China Grove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DON HOLLOMAN M.ED, CEO (CHIEF EXECUTIVE OFFICER)
(704) 792-2203
Entity
Organization
Contact information
Practice address
307 E THOM ST, CHINA GROVE, NC 28023-2363
(704) 855-5200
Mailing address
202 MCGILL AVE NW STE D, CONCORD, NC 28025-4615
(704) 792-2292
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
08/11/2020
Last updated
02/07/2022
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