Cape Fear Oral And Maxillofacial Surgery | |
2409 Robeson St Fayetteville NC 28305-5549 | |
(910) 483-9546 | |
(910) 483-8550 |
Full Name | Cape Fear Oral And Maxillofacial Surgery |
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Speciality | Clinic/center - Dental |
Location | 2409 Robeson St, Fayetteville, North Carolina |
Authorized Official Name and Position | Jamie Leigh Douglas (INSURANCE COORDINATOR) |
Authorized Official Contact | 9104839546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cape Fear Oral And Maxillofacial Surgery 2409 Robeson St Fayetteville NC 28305-5549 Ph: (910) 483-9546 | Cape Fear Oral And Maxillofacial Surgery 2409 Robeson St Fayetteville NC 28305-5549 Ph: (910) 483-9546 |
NPI Number | 1790111953 |
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Provider Enumeration Date | 09/19/2013 |
Last Update Date | 09/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790111953 | NPI | - | NPPES |
5911969 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 8750 (North Carolina) | Primary |
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