# PHILLIP MCIVER DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Partners Dental Extraction Center of Fairmont PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104679448
- **Authorized official:** PHILIP S MCIVER (OWNER-DENTIST)
- **Authorized official phone:** (910) 628-7166

## Contact information

- **Practice address:** 304 IONA ST, FAIRMONT, NC 28340-1618
- **Practice address phone:** (910) 628-7166
- **Practice address fax:** (910) 535-4306
- **Mailing address:** 304 IONA ST, FAIRMONT, NC 28340-1618
- **Mailing address phone:** (910) 628-7166

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 08/08/2024