| Owen Drive Family Dental | |
|
203 Owen Dr Fayetteville NC 28304-3409 | |
| (910) 484-1771 | |
| Not Available |
| Full Name | Owen Drive Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 Owen Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Drive Family Dental 203 Owen Dr Fayetteville NC 28304-3409 Ph: () - | Owen Drive Family Dental 203 Owen Dr Fayetteville NC 28304-3409 Ph: (910) 484-1771 |
| NPI Number | 1871234633 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871234633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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