# INTEGRATIVE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1538472071
- **Authorized official:** RALPH K MENSAH DDS (DENTIST/OWNER)
- **Authorized official phone:** (919) 304-3014

## Contact information

- **Practice address:** 975 CAMERON LN, MEBANE, NC 27302-9883
- **Practice address phone:** (919) 304-3014
- **Practice address fax:** (919) 304-3017
- **Mailing address:** 975 CAMERON LN, MEBANE, NC 27302-9883
- **Mailing address phone:** (919) 304-3014
- **Mailing address fax:** (919) 304-3017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8693 | NC | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 04/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1033367784 | INDIVIDUAL NPI \# | — |
| 05 | — | 5910261 NC | — | NC |