# PLUMMER RAY CHAVIS, DDS, P.A.

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

## Provider details

- **NPI number:** 1245368620
- **Authorized official:** DR. PLUMMER RAY CHAVIS DDS (PRESIDENT OWNER)
- **Authorized official phone:** (910) 276-6640

## Contact information

- **Practice address:** 1710 US HIGHWAY 401 S, LAURINBURG, NC 28352-5423
- **Practice address phone:** (910) 276-6640
- **Practice address fax:** (910) 276-6538
- **Mailing address:** PO BOX 886, 1710 HWY 401 SOUTH, LAURINBURG, NC 28353-0886
- **Mailing address phone:** (910) 276-6640
- **Mailing address fax:** (910) 276-6538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4839 | NC | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 02/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8991538 | — | NC |