Organization
ALEXANDER COUNTY
Active
Organization
ALEXANDER COUNTY
Active
Other names
Alexander County Health Department Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEEANNE JAYNES WHISNANT RN, BSN, MS (HEALTH DIRECTOR)
(828) 632-9704
Entity
Organization
Contact information
Practice address
338 1ST AVE SW, TAYLORSVILLE, NC 28681-2402
(828) 632-9704
(828) 632-9008
Mailing address
338 1ST AVE SW, TAYLORSVILLE, NC 28681-2402
(828) 632-9704
(828) 632-9008
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020 UK
BLUE CROSS BLUE SHIELD OF NC
NC
05
—
3404302
—
NC
Enumeration date
03/01/2017
Last updated
03/01/2017
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