# DRS PEARSON JEFFERSON AND CAMP PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Raleigh Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730299835
- **Authorized official:** DR. JAY A JEFFERSON DDS (TREASURER)
- **Authorized official phone:** (919) 876-4746

## Contact information

- **Practice address:** 8301 BANDFORD WAY, SUITE 121, RALEIGH, NC 27615-2767
- **Practice address phone:** (919) 876-4746
- **Practice address fax:** (919) 876-5071
- **Mailing address:** 8301 BANDFORD WAY, SUITE 121, RALEIGH, NC 27615-2767
- **Mailing address phone:** (919) 876-4746
- **Mailing address fax:** (919) 876-5071

## 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:** 08/30/2006
- **Last updated:** 07/15/2007