Valleygate Dental Surgery Center | |
2038 Litho Place Fayetteville NC 28304 | |
(910) 485-7070 | |
(910) 485-1151 |
Full Name | Valleygate Dental Surgery Center |
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Speciality | Clinic/Center |
Location | 2038 Litho Place, Fayetteville, North Carolina |
Authorized Official Name and Position | Virginia Jones (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9104857070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valleygate Dental Surgery Center 2028 Litho Pl Ste 300 Fayetteville NC 28304-2538 Ph: (910) 485-7070 | Valleygate Dental Surgery Center 2038 Litho Place Fayetteville NC 28304 Ph: (910) 485-7070 |
NPI Number | 1003321365 |
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Provider Enumeration Date | 12/08/2017 |
Last Update Date | 10/25/2019 |
Medicare PECOS PAC ID | 2860748506 |
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Medicare Enrollment ID | O20180710003309 |
Identifier | Type | State | Issuer |
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1003321365 | NPI | - | NPPES |
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