|
| |
|
2935 Breezewood Ave Suite 200 Fayetteville NC 28303-5284 | |
| (910) 323-3133 | |
| (910) 323-9616 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2935 Breezewood Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | Walter Stuart Scott (OWNER/DENTIST) |
| Authorized Official Contact | 9103233133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2935 Breezewood Ave Suite 200 Fayetteville NC 28303-5284 Ph: (910) 323-3133 | 2935 Breezewood Ave Suite 200 Fayetteville NC 28303-5284 Ph: (910) 323-3133 |
| NPI Number | 1942497433 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942497433 | NPI | - | NPPES |
| 8997606 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5678 (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 | |