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REEBYE PARK & RICHMAN DDS PLC NPI 1639450869


NPI Information

NPI: 1639450869
Provider Name: REEBYE, PARK & RICHMAN DDS PLC

Doing Business As: TRIANGLE IMPLANT CENTER

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5318 NC HIGHWAY 55 SUITE 106
DURHAM, NC
ZIP 27713
Phone: (919) 806-2912
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REEBYE, PARK & RICHMAN DDS PLC is an oral and maxillofacial surgery dentist in Durham, 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. REEBYE, PARK & RICHMAN DDS PLC NPI is 1639450869. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Triangle Implant Center.

The provider's business location address is:

5318 NC HIGHWAY 55 SUITE 106
DURHAM, NC
ZIP 27713
Phone: (919) 806-2912
Fax: (919) 806-2915

The provider's authorized official is Andres F. Henao .
The authorized official title is Technical Director and has the following contact phone number (919) 563-2897.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 9/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223S0112XDentistOral and Maxillofacial Surgery7381NORTH CAROLINANo
31223S0112XDentistOral and Maxillofacial SurgeryYes

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
15918592MEDICAIDNORTH 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

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