J Iverson Riddle Developmental Center in Morgantown - Dental

J Iverson Riddle Developmental Center - NPI 1194861617

J Iverson Riddle Developmental Center is a Dental in Morgantown, North Carolina. J Iverson Riddle Developmental Center practices all healthcare services and medical treatments related to Dental. The NPI Number for J Iverson Riddle Developmental Center is 1194861617. The last update date is 2021-10-06.

J Iverson Riddle Developmental Center's current location address is 300 Enola Road, Morgantown, North Carolina. You can contact this provider via phone number 8284332722 and fax number 8284332724. The mailing address for J Iverson Riddle Developmental Center is 300 Enola Road, Morgantown, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization J Iverson Riddle Developmental Center
Address 300 Enola Road, Morgantown, North Carolina
Phone Number 8284332722
Fax Number 8284332724
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIVISION D
Authorized Official Name Burkes Karen
Telephone Number 9198554700

NPI Number Detail

NPI Number 1194861617
Provider Enumeration Date 2007-01-30
Last Updated Date 2021-10-06

Provider Mailing Address Detail

Address 300 Enola Road
City Morgantown
State North Carolina (NC)
Post Code 286554608
Phone Number 8284332722
Fax Number 8284332724

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3406014 NC --

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FAQs about J Iverson Riddle Developmental Center

What is the J Iverson Riddle Developmental Center's unique identification number?

The J Iverson Riddle Developmental Center has been assigned the NPI (National Provider Identifier) Number 1194861617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where J Iverson Riddle Developmental Center is physically located?

The J Iverson Riddle Developmental Center is situated at the following address: 300 Enola Road, Morgantown, NC 286554608.

What is the area of specialization for J Iverson Riddle Developmental Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for J Iverson Riddle Developmental Center is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194861617 to J Iverson Riddle Developmental Center?

The Centers for Medicare & Medicaid Services assigned the 1194861617 to J Iverson Riddle Developmental Center on 2007-01-30.

As of what date were the details related to J Iverson Riddle Developmental Center most recently updated or revised?

The information pertaining to J Iverson Riddle Developmental Center, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-06.

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