Pine Valley Family Dentistry | |
1661 Owen Dr Fayetteville NC 28304-3425 | |
(910) 485-2273 | |
(910) 485-0772 |
Full Name | Pine Valley Family Dentistry |
---|---|
Speciality | Dentist |
Location | 1661 Owen Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Kirsten Toi Inman (OFFICE MANAGER) |
Authorized Official Contact | 9104252273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Valley Family Dentistry 1661 Owen Dr Fayetteville NC 28304-3425 Ph: (910) 485-2273 | Pine Valley Family Dentistry 1661 Owen Dr Fayetteville NC 28304-3425 Ph: (910) 485-2273 |
NPI Number | 1003086174 |
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Provider Enumeration Date | 03/05/2008 |
Last Update Date | 10/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003086174 | NPI | - | NPPES |
767829 | Other | NC | UNITED CONCORDIA |
90477 | Other | NC | BLUE CROSS OF NC |
8990477 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6315 (North Carolina) | Primary |
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