PHILLIP MCIVER DDS PA NPI 1104679448

NPI Information

  • NPI: 1104679448
  • Provider Name: PHILLIP MCIVER DDS PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: PARTNERS DENTAL EXTRACTION CENTER OF FAIRMONT PLLC
  • Address: 304 IONA ST
    FAIRMONT, NC
    ZIP 28340
  • Phone: (910) 628-7166

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NPI Details

PHILLIP MCIVER DDS PA is an oral and maxillofacial surgery dentist in Fairmont, 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. PHILLIP MCIVER DDS PA NPI is 1104679448. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Partners Dental Extraction Center Of Fairmont Pllc.

The provider's business location address is:

304 IONA ST
FAIRMONT, NC
ZIP 28340-618
Phone: (910) 628-7166
Fax: (910) 535-4306

The provider's authorized official is Philip S Mciver .
The authorized official title is Owner-dentist and has the following contact phone number (910) 628-7166.

The enumeration date for this NPI number is 4/8/2024 and was last updated on 8/8/2024.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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