| Carolina Orthodontics And Children's Dentistry | |
|
2350 Bentridge Ln Fayetteville NC 28304-0590 | |
| (919) 977-0627 | |
| Not Available |
| Full Name | Carolina Orthodontics And Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2350 Bentridge Ln, Fayetteville, North Carolina |
| Authorized Official Name and Position | Amena Holley (CREDENTIALING SPECILIAST) |
| Authorized Official Contact | 2485505440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Orthodontics And Children's Dentistry 2350 Bentridge Ln Fayetteville NC 28304-0590 Ph: (248) 550-5440 | Carolina Orthodontics And Children's Dentistry 2350 Bentridge Ln Fayetteville NC 28304-0590 Ph: (919) 977-0627 |
| NPI Number | 1710692918 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710692918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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