| Jamel Mcduffie-watson, Dds, Pa | |
|
6104 Fayetteville Rd Suite 107 Durham NC 27713-6283 | |
| (919) 484-7478 | |
| (919) 572-9942 |
| Full Name | Jamel Mcduffie-watson, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6104 Fayetteville Rd, Durham, North Carolina |
| Authorized Official Name and Position | Jamel Mcduffie-watson (PRESIDENT/OWNER) |
| Authorized Official Contact | 9194847478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamel Mcduffie-watson, Dds, Pa 6104 Fayetteville Rd Suite 107 Durham NC 27713-6283 Ph: (919) 484-7478 | Jamel Mcduffie-watson, Dds, Pa 6104 Fayetteville Rd Suite 107 Durham NC 27713-6283 Ph: (919) 484-7478 |
| NPI Number | 1255503728 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255503728 | NPI | - | NPPES |
| 899010W | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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