| Childers & Associates, D.d.s., Pllc | |
|
2409 Robeson St Fayetteville NC 28305-5549 | |
| (910) 483-9546 | |
| (910) 483-8550 |
| Full Name | Childers & Associates, D.d.s., Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2409 Robeson St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Gail Childers (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9104839546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childers & Associates, D.d.s., Pllc 2409 Robeson St Fayetteville NC 28305-5549 Ph: (910) 483-9546 | Childers & Associates, D.d.s., Pllc 2409 Robeson St Fayetteville NC 28305-5549 Ph: (910) 483-9546 |
| NPI Number | 1316163850 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316163850 | NPI | - | NPPES |
| 890138F | Medicaid | NC | |
| 8991553 | Medicaid | NC | |
| 955715 | Other | NC | UCCI-GROUP |
| 467383 | Other | NC | DR. DALE A. CHILDERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4973 (North Carolina) | Primary |
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