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2935 Breezewood Ave Ste 201 Fayetteville NC 28303-5498 | |
(910) 483-3050 | |
(910) 483-1699 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2935 Breezewood Ave Ste 201, Fayetteville, North Carolina |
Authorized Official Name and Position | Adebiyi Adedapo Oremosu (PRESIDENT) |
Authorized Official Contact | 9104833050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40253 Fayetteville NC 28309-0253 Ph: (910) 483-3050 | 2935 Breezewood Ave Ste 201 Fayetteville NC 28303-5498 Ph: (910) 483-3050 |
NPI Number | 1356527287 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 10/08/2021 |
Identifier | Type | State | Issuer |
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1356527287 | NPI | - | NPPES |
5908809 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7890 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |