| Carolinasdentist.com | |
|
300 Glensford Drive Fayetteville NC 28314 | |
| (910) 391-1502 | |
| Not Available |
| Full Name | Carolinasdentist.com |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 Glensford Drive, Fayetteville, North Carolina |
| Authorized Official Name and Position | Clifton Cameron (OWNER) |
| Authorized Official Contact | 9109885483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinasdentist.com 1924 Finnegan St Fayetteville NC 28303-6819 Ph: () - | Carolinasdentist.com 300 Glensford Drive Fayetteville NC 28314 Ph: (910) 391-1502 |
| NPI Number | 1366856262 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366856262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8549 (North Carolina) | Primary |
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