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3621 Cape Center Dr Fayetteville NC 28304-4457 | |
(910) 307-0370 | |
(910) 307-0375 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3621 Cape Center Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Michael Steven Watson (PRES.) |
Authorized Official Contact | 9103070370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3621 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 307-0370 | 3621 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 307-0370 |
NPI Number | 1730263211 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 05/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730263211 | NPI | - | NPPES |
5902369 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 6345 (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 | |