Organization
PHILIP F. JIAMACHELLO, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP FREDERIC JIAMACHELLO D.D.S. (PEDIATRIC DENTIST)
(704) 484-3366
Entity
Organization
Contact information
Practice address
221 SIMPSON PARK RD, SHELBY, NC 28150-4299
(704) 484-3366
(704) 484-3441
Mailing address
221 SIMPSON PARK RD, SHELBY, NC 28150-4299
(704) 484-3366
(704) 484-3441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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