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5075 Morganton Rd Ste 12 Fayetteville NC 28314 | |
(910) 864-5100 | |
(216) 584-1118 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 5075 Morganton Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Eric Roman (DENTIST/OWNER) |
Authorized Official Contact | 9108645100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17300 Dallas Parkway #1070 Dallas TX 75248 Ph: (972) 755-0880 | 5075 Morganton Rd Ste 12 Fayetteville NC 28314 Ph: (910) 864-5100 |
NPI Number | 1780848382 |
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Provider Enumeration Date | 07/12/2008 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1780848382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |