Organization
THOMAS G. HANDY, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G. HANDY (PRESIDENT)
(336) 765-7870
Entity
Organization
Contact information
Practice address
1700 S. HAWTHORNE RD., WINSTON-SALEM, NC 27103-4016
(336) 765-7870
(336) 765-3830
Mailing address
1700 S. HAWTHORNE RD., WINSTON-SALEM, NC 27103-4016
(336) 765-7870
(336) 765-3830
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3126
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1466591
UNITED CONCORDIA
—
05
—
8993547
—
NC
01
—
93547
BCBS
NC
Enumeration date
11/05/2008
Last updated
11/05/2008
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