ANTHONY R. IMMEDIATA D.M.D P.A. NPI 1861643678

NPI Information

ANTHONY R. IMMEDIATA, D.M.D, P.A. is an oral and maxillofacial surgery dentist in Raleigh, NC. The provider is an oral and maxillofacial surgery dentist specialized in 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. ANTHONY R. IMMEDIATA, D.M.D, P.A. NPI is 1861643678. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7101 CREEDMOOR RD
SUITE 109
RALEIGH, NC
ZIP 27613-682
Phone: (919) 846-5500
Fax: (919) 846-7964

The provider's authorized official is Barbara Sed .
The authorized official title is Office Manager and has the following contact phone number (919) 846-5500.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 12/3/2008.

Taxonomy Codes

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Other Identifiers

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