| |
5511 Raeford Rd Ste 225 Fayetteville NC 28304-3049 | |
(910) 485-0023 | |
(910) 485-0022 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 5511 Raeford Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Paige Elizabeth Nance (DENTIST) |
Authorized Official Contact | 9104850023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5511 Raeford Rd Ste 225 Fayetteville NC 28304-3049 Ph: (910) 485-0023 | 5511 Raeford Rd Ste 225 Fayetteville NC 28304-3049 Ph: (910) 485-0023 |
NPI Number | 1396806733 |
---|---|
Provider Enumeration Date | 12/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396806733 | NPI | - | NPPES |
018MA | Other | NC | NC HEALTH CHOICE # |
1533457 | Other | NC | UNITED CONCORDIA # |
5903812 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7156 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |