34D2201581 CLIA NUMBER - JOHN M HIGHSMITH DDS PA

Laboratory Demographics

CLIA Number: 34D2201581

Facility Name: JOHN M HIGHSMITH DDS PA

Facility Address:
78 NELSON STREET
CLYDE, NC
ZIP 28721
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Facility Phone Number: 828 627-9282

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1427278621

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name Field Value
CLIA Number 34D2201581
LAB Type Practitioner Other
Facility Name JOHN M HIGHSMITH DDS PA
Street 78 NELSON STREET
City CLYDE
State NC
ZIP 28721
Phone 828 627-9282
CertificateType 4
CertificateEffectiveDate 11/23/2022
CertificateExpirationDate 11/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024