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3416 Melrose Rd Fayetteville NC 28304-1610 | |
(910) 484-5141 | |
(910) 481-8913 |
Full Name | |
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Speciality | Dentist |
Location | 3416 Melrose Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Laura Eckard (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9104845141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3416 Melrose Rd Fayetteville NC 28304-1610 Ph: (910) 484-5141 | 3416 Melrose Rd Fayetteville NC 28304-1610 Ph: (910) 484-5141 |
NPI Number | 1548585862 |
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Provider Enumeration Date | 03/30/2010 |
Last Update Date | 03/30/2010 |
Identifier | Type | State | Issuer |
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1548585862 | NPI | - | NPPES |
5901507 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7930 (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 | |