Individual
DR. JOHN LESTER CLONINGER III III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
904 DONITA DR, LINCOLNTON, NC 28092-3643
(704) 735-0765
(704) 735-4506
Mailing address
904 DONITA DR, LINCOLNTON, NC 28092-3643
(704) 735-0765
(704) 735-4506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148930391
DELTA DENTAL
NC
05
—
8991684
—
NC
01
—
91684
BLUE CROSS BLUE SHIELD
NC
Enumeration date
02/13/2007
Last updated
08/03/2020
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