# S C TOLBERT DDS PA

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

## Provider details

- **NPI number:** 1629025564
- **Authorized official:** S C TOLBERT D D S P A (PRESIDENT)
- **Authorized official phone:** (910) 484-6116

## Contact information

- **Practice address:** 3419 C MELROSE RD, FAYETTEVILLE, NC 28304
- **Practice address phone:** (910) 484-6116
- **Practice address fax:** (910) 484-5950
- **Mailing address:** 3419 C MELROSE RD, FAYETTEVILLE, NC 28304
- **Mailing address phone:** (910) 484-6116
- **Mailing address fax:** (910) 484-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3726 | NC | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 05/02/2012