Organization
CRYSTAL COAST DENTISTRY
Active
Other names
Harold & Sholar, D.D.S., PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H. SCOTT D.D.S. (PRESIDENT)
(252) 393-8168
Entity
Organization
Contact information
Practice address
202 WB MCLEAN DR., CAPE CARTERET, NC 28584-8524
(252) 393-8168
(252) 393-2978
Mailing address
202 WB MCLEAN DR., CAPE CARTERET, NC 28584-8524
(252) 393-8168
(252) 393-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016T6
NORTH CAROLINA BCBS
NC
01
—
1680321
UNITED CONCORDIA
—
05
—
89016T6
—
NC
Enumeration date
07/07/2006
Last updated
10/10/2011
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