Henry Albert Kearney III, D.D.S.
Individual provider Active NPI General Practice Dentistry · Robersonville, NC
NPI 1669417283 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669417283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4215 (NC)
- Practice address
- 106 W Nelson St
Robersonville, NC 27871-9768 - Phone
- (252) 795-3137
- Fax
- (252) 795-3138
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4215 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4215 | NC | Yes |
Addresses
Primary practice location
106 W Nelson St
Robersonville, NC 27871-9768
Mailing address
PO Box 248
Robersonville, NC 27871-0248
Phone (252) 795-3137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8994779 | Medicaid | NC |
Other providers in Robersonville, NC
- Gloria Crandell-Nelson
- Cathy Griffin
- Healthfirst Wellness Center, PLLC
- Suzanne Williams Holland
- Trinea Jones
- Leggett Drug Company, Inc.
- Leggett Drug Company, Inc.
- Oshonda Kelton Morton
- Nexus Developmental Center
- Openarmsresidential&Communitysupport,Inc
All providers in Robersonville, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.