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MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA NPI 1326105933


NPI Information

NPI: 1326105933
Provider Name: MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA

Doing Business As: EASTERN CAROLINA ORAL & MAXILLOFACIAL SURGERY

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
46 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-3535
Get Directions

MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA is an oral maxillofacial surgery in Jacksonville, NC. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA NPI is 1326105933. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eastern Carolina Oral & Maxillofacial Surgery.

The provider's business location address is:

46 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546-217
Phone: (910) 353-3535
Fax: (910) 353-3535

The provider's authorized official is John Thomas Meadows .
The authorized official title is Doctor and has the following contact phone number (910) 353-3535.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/29/2010.


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
1204E00000XOral & Maxillofacial Surgery3953NORTH 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
102601OTHERNORTH CAROLINABCBS GROUP #
2T63801MEDICARE UPINNORTH CAROLINA
3T63801MEDICARE UPIN
4744032OTHERUCCI
5241058AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
62428433MEDICARE PINNORTH CAROLINA
78902601MEDICAIDNORTH 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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