<unavail> in Fayetteville, NC - Medicare Clinic/Center

is a medicare enrolled dental clinic (Clinic/center - Dental) in Fayetteville, North Carolina. The current practice location for is 6402 Yadkin Rd, Fayetteville, North Carolina. For appointments, you can reach them via phone at (910) 864-4646. The mailing address for is 7151 Okelly Chapel Rd # 318, Cary, North Carolina and phone number is (910) 864-4646.

is licensed to practice in North Carolina (license number 9774). The clinic also participates in the medicare program and its NPI number is 1811497761. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 864-4646.

Contact Information


	6402 Yadkin Rd Fayetteville NC 28303
	(910) 864-4646
	Not Available

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	6402 Yadkin Rd, Fayetteville, North Carolina
Authorized Official Name and Position	Jeremiah C Davis (OWNER)
Authorized Official Contact	9108644646
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
7151 Okelly Chapel Rd # 318 Cary NC 27519-6849 Ph: (910) 864-4646	6402 Yadkin Rd Fayetteville NC 28303 Ph: (910) 864-4646

NPI Details:

NPI Number	1811497761
Provider Enumeration Date	02/16/2018
Last Update Date	10/29/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	6103243738
Medicare Enrollment ID	O20200827003287

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811497761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QD0000X	Clinic/center - Dental	9774 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jeremiah C. Davis
Provider Type	Practitioner - Dentist
Provider Identifiers	NPI Number: 1033522198 PECOS PAC ID: 1153748777 Enrollment ID: I20200827003045

Reviews and Comments

Dental Clinics in Fayetteville, NC

Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 Owen Dr, Fayetteville, NC 28304 Phone: 910-485-2273 Fax: 910-485-0772
Dental Clinic Medicare: Medicare Enrolled Practice Location: 2038 Litho Place, Fayetteville, NC 28304 Phone: 910-485-7070 Fax: 910-485-1151
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7780 South Raeford Road, Fayetteville, NC 28304 Phone: 972-755-0800 Fax: 972-755-0800
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6950 Nexus Ct, Fayetteville, NC 28304 Phone: 910-864-2400 Fax: 910-864-3016
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Skibo Rd., Fayetteville, NC 28303 Phone: 910-922-9989
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 Litho Pl Ste 300, Fayetteville, NC 28304 Phone: 910-485-7070 Fax: 910-485-1151

- Medicare Dental Clinic in Fayetteville, NC