Provider Demographics
NPI:1003044918
Name:ASHLEY FLOWERS, DDS, PA
Entity Type:Organization
Organization Name:ASHLEY FLOWERS, DDS, PA
Other - Org Name:ASHLEY FLOWERS FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-372-3434
Mailing Address - Street 1:507 NORTH MAIN STREET
Mailing Address - Street 2:PO BOX 1870
Mailing Address - City:SPARTA
Mailing Address - State:NC
Mailing Address - Zip Code:28675
Mailing Address - Country:US
Mailing Address - Phone:336-372-3434
Mailing Address - Fax:336-372-1870
Practice Address - Street 1:507 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NC
Practice Address - Zip Code:28675
Practice Address - Country:US
Practice Address - Phone:336-372-3434
Practice Address - Fax:336-372-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8817261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental