Provider Demographics
NPI:1275863722
Name:NAYLOR OF LINCOLNTON PLLC
Entity Type:Organization
Organization Name:NAYLOR OF LINCOLNTON PLLC
Other - Org Name:COMFORT AND CARE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-748-1110
Mailing Address - Street 1:518 N GENERALS BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-3500
Mailing Address - Country:US
Mailing Address - Phone:704-748-1110
Mailing Address - Fax:704-748-9747
Practice Address - Street 1:518 N GENERALS BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-3500
Practice Address - Country:US
Practice Address - Phone:704-748-1110
Practice Address - Fax:704-748-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC81751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906431Medicaid