| |
4823 Rosehill Rd Fayetteville NC 28311-6938 | |
(910) 482-4442 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 4823 Rosehill Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Tracie Williams-legette (DENTIST) |
Authorized Official Contact | 9104824442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 610 Fayetteville NC 28302-0610 Ph: (910) 482-4442 | 4823 Rosehill Rd Fayetteville NC 28311-6938 Ph: (910) 482-4442 |
NPI Number | 1942472907 |
---|---|
Provider Enumeration Date | 03/31/2008 |
Last Update Date | 03/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942472907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |