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4140 Ramsey St Ste 104 Fayetteville NC 28311-7658 | |
(910) 488-0518 | |
(910) 630-2432 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4140 Ramsey St Ste 104, Fayetteville, North Carolina |
Authorized Official Name and Position | Kenneth Boyd Lewis (DENTIST) |
Authorized Official Contact | 9104880518 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4140 Ramsey St Suite 104 Fayetteville NC 28311-7672 Ph: (910) 488-0518 | 4140 Ramsey St Ste 104 Fayetteville NC 28311-7658 Ph: (910) 488-0518 |
NPI Number | 1336317692 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 07/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336317692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5029 (North Carolina) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |