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Organization

BRYAN R NEUWIRTH DDS MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA B MCKENZIE (OFFICE MANAGER)
(828) 327-7867
Entity
Organization

Contact information

Practice address
261 18TH ST CR SE, HICKORY, NC 28602-1362
(828) 327-7867
(828) 327-6299
Mailing address
261 18TH ST CR SE, HICKORY, NC 28602-1362
(828) 327-7867
(828) 327-6299

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36121
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2339122
MEDICARE GROUP NUMBER
NC
Enumeration date
12/27/2007
Last updated
10/20/2010
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