Mead L. Slagle DDS PLLC

Organization Active NPI General Practice Dentistry · Frisco, NC

NPI 1467940239 · NPPES record last updated Apr 27, 2018

Key facts

NPI
1467940239
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
6725 (NC)
Legal business name
MEAD L. SLAGLE DDS PLLC
Practice address
50716 Hwy 12
Frisco, NC 27936-0023
Phone
(252) 995-4101
Fax
(252) 995-4423
NPI assigned
Apr 27, 2018
Organization subpart
No

Authorized official

Name
Jennifer Waterfield
Title
Office Manager
Phone
(252) 995-4101

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 6725 NC Yes

Addresses

Primary practice location

50716 Hwy 12
Frisco, NC 27936-0023

Mailing address

PO Box 967
Buxton, NC 27920-0967
Phone (252) 995-4101

Other identifiers

IdentifierTypeStateIssuer
8990057MedicaidNC
90057OtherNCBLUE CROSS BLUE SHIELD

Other providers in Frisco, NC

All providers in Frisco, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.