Provider Demographics
NPI:1104496124
Name:MARGARET ANN FLOOR DDS PLLC
Entity type:Organization
Organization Name:MARGARET ANN FLOOR DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FLOOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-618-7408
Mailing Address - Street 1:5350 MERCIA CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-9804
Mailing Address - Country:US
Mailing Address - Phone:910-734-4518
Mailing Address - Fax:
Practice Address - Street 1:5203 ROBINHOOD VILLAGE DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-9819
Practice Address - Country:US
Practice Address - Phone:336-618-7408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1811376981Medicaid