NPI 1154564763

Paradise Family Dentistry

Organisation Health Maintenance Organization Greensboro, NC

Practice location

Address: 104 W Northwood St Suite C, Greensboro, NC 27401-1326
Phone: (336) 272-8087
Fax: (336) 272-8098

Authorised official

Name: Dave Erskine Foulkes
Title: Dentist/Owner
Phone: (336) 272-8087

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 7603 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1154564763
Entity type: Organization
NPI issued: 13 Apr 2009
Record last updated: 13 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.