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103 Ganyard Farm Way Durham NC 27703-6230 | |
| (919) 957-2444 | |
| (888) 505-9592 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 103 Ganyard Farm Way, Durham, North Carolina |
| Authorized Official Name and Position | Bebe Jackson (OFFICE MANAGER) |
| Authorized Official Contact | 9108632377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
103 Ganyard Farm Way Durham NC 27703-6230 Ph: (919) 957-2444 | 103 Ganyard Farm Way Durham NC 27703-6230 Ph: (919) 957-2444 |
| NPI Number | 1790930030 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790930030 | NPI | - | NPPES |
| 5903289 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7917 (North Carolina) | Primary |
S. Alicia Ramos Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 W Nc Highway 54, Suite 260, Durham, NC 27707 Phone: 919-493-5714 Fax: 919-489-7321 | |
Dr Santa M. Mckibbins, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1413 W Nc Highway 54, Durham, NC 27707 Phone: 919-493-6860 | |
Dinah B Vice Dds Pa Iii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8218 Renaissance Pkwy, Suite 203, Durham, NC 27713 Phone: 919-493-3355 Fax: 919-361-3371 | |