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CHILDERS & ASSOCIATES D.D.S. PLLC NPI 1316163850


NPI Information

NPI: 1316163850
Provider Name: CHILDERS & ASSOCIATES, D.D.S., PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2409 ROBESON ST
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 483-9546
Get Directions

CHILDERS & ASSOCIATES, D.D.S., PLLC is an oral and maxillofacial surgery dentist in Fayetteville, NC. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CHILDERS & ASSOCIATES, D.D.S., PLLC NPI is 1316163850. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2409 ROBESON ST
FAYETTEVILLE, NC
ZIP 28305-549
Phone: (910) 483-9546
Fax: (910) 483-8550

The provider's authorized official is Gail Childers .
The authorized official title is Office Administrator and has the following contact phone number (910) 483-9546.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 10/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery4973NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1467383OTHERNORTH CAROLINADR. DALE A. CHILDERS
2T63841MEDICARE UPINNORTH CAROLINA
3955715OTHERNORTH CAROLINAUCCI-GROUP
48991553MEDICAIDNORTH CAROLINA
5241136AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINADR. DALE A. CHILDERS
6890138FMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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