# PARADISE FAMILY DENTISTRY III

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

## Provider details

- **NPI number:** 1326277880
- **Authorized official:** DR. DAVE ERSKINE FOULKES D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (919) 699-9947

## Contact information

- **Practice address:** 2003 HIGHWAY 54, SUITE C, DURHAM, NC 27713
- **Practice address phone:** (919) 699-9947
- **Mailing address:** 2003 HIGHWAY 54, SUITE C, DURHAM, NC 27713
- **Mailing address phone:** (919) 699-9947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7603 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 7841 | NC | — |
| 1223G0001X | General Practice Dentistry | 8332 | NC | — |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 07/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5906536 | — | NC |
| 05 | — | 89902KG | — | NC |
| 05 | — | 89902VW | — | NC |