The Teeth Doctors | |
6402 Yadkin Rd Fayetteville NC 28303 | |
(910) 864-4646 | |
Not Available |
Full Name | The Teeth Doctors |
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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 | Practice Location Address |
---|---|
The Teeth Doctors 7151 Okelly Chapel Rd # 318 Cary NC 27519-6849 Ph: (910) 864-4646 | The Teeth Doctors 6402 Yadkin Rd Fayetteville NC 28303 Ph: (910) 864-4646 |
NPI Number | 1811497761 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 10/29/2020 |
Medicare PECOS PAC ID | 6103243738 |
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Medicare Enrollment ID | O20200827003287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811497761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 9774 (North Carolina) | Primary |
Provider Name | Jeremiah C. Davis |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1033522198 PECOS PAC ID: 1153748777 Enrollment ID: I20200827003045 |
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