CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY NPI 1790111953

NPI Information

NPI: 1790111953
Provider Name: CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2409 ROBESON ST
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 483-9546
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CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY is a dental clinic center in Fayetteville, NC. CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY NPI is 1790111953. The provider is registered as an organization entity type.

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 Jamie Leigh Douglas .
The authorized official title is Insurance Coordinator and has the following contact phone number (910) 483-9546.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 9/19/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	8750	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5911969	MEDICAID	NORTH 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: 4/28/2024

NPI Synchronization or Removal

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