1134468564 NPI 1235916636

NPI Information

  • NPI: 1235916636
  • Provider Name: 1134468564
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 7841 ALEXANDER PROMENADE PL # S100
    RALEIGH, NC
    ZIP 27617
  • Phone: (919) 354-5400

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NPI Details

1134468564 is a dental clinic center in Raleigh, NC. 1134468564 NPI is 1235916636. The provider is registered as an organization entity type.

The provider's business location address is:

7841 ALEXANDER PROMENADE PL # S100
RALEIGH, NC
ZIP 27617-913
Phone: (919) 354-5400
Fax: (919) 354-5401

The provider's authorized official is Danesha Y Horton .
The authorized official title is Financial Coordinator and has the following contact phone number (919) 354-5400.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

NPI Synchronization or Removal

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