Organization Name: | ASHLEY FLOWERS, DDS, PA |
NPI Number: | 1003044918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA ASHLEY FLOWERS (DENTIST) |
Mailing Address: | 507 North Main Street Sparta |
State: | NC US |
Postal Code: | 28675 |
Phone Number: | 3363723434 |
Fax Number: | 3363721870 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 8817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |