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203 Owen Dr Fayetteville NC 28304-3409 | |
(910) 484-1771 | |
Not Available |
Full Name | |
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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 |
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203 Owen Dr Fayetteville NC 28304-3409 Ph: () - | 203 Owen Dr Fayetteville NC 28304-3409 Ph: (910) 484-1771 |
NPI Number | 1871234633 |
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Provider Enumeration Date | 04/05/2022 |
Last Update Date | 10/04/2024 |
Identifier | Type | State | Issuer |
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1871234633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |