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Organization
CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE LEIGH DOUGLAS (INSURANCE COORDINATOR)
(910) 483-9546
Entity
Organization
Contact information
Practice address
2409 ROBESON ST, FAYETTEVILLE, NC 28305-5549
(910) 483-9546
(910) 483-8550
Mailing address
2409 ROBESON ST, FAYETTEVILLE, NC 28305-5549
(910) 483-9546
(910) 483-8550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8750
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911969
—
NC
Enumeration date
09/19/2013
Last updated
09/19/2013
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