MEDICARE: PHOENIX DENTAL OF HIGH POINT, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437000676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX DENTAL OF HIGH POINT, PLLC

Provider Business Mailing Address
First Line	:	319 N UNIVERSITY PKWY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-4128
Country	:	US
Telephone Number	:	336-804-5229
Fax Number	:	336-804-5999

Provider Business Practice Location Address
First Line	:	319 N UNIVERSITY PKWY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-4128
Country	:	US
Telephone Number	:	336-804-5229
Fax Number	:	336-804-5999

Authorized Official
Title or Position	:	CHIEF OPERATION OFFICER/DENTIST
Name	:	HERBERT MCNEAL JR.
Credential	:	DDS
Telephone Number	:	336-407-0061

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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