Organization
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT
Active
Other names
Martin Tyrrell Washington District Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA B PHELPS (ADMINISTRATIVE ASSISTANT II)
(252) 793-3023
Entity
Organization
Contact information
Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 793-3023
(252) 791-3159
Mailing address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 793-3023
(252) 791-3159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07059
BLUE CROSS
NC
05
—
3404410
—
NC
Enumeration date
11/30/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us