# JOHN F NEELY DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043243124
- **Authorized official:** DR. JOHN FRANK NEELY DMD (PRESIDENT)
- **Authorized official phone:** (910) 295-8088

## Contact information

- **Practice address:** 93 AVIEMORE DR, PINEHURST, NC 28374-9797
- **Practice address phone:** (910) 295-8088
- **Practice address fax:** (910) 295-8855
- **Mailing address:** 93 AVIEMORE DR, PINEHURST, NC 28374-9797
- **Mailing address phone:** (910) 295-8088
- **Mailing address fax:** (910) 295-8855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7678 | NC | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020