Organization
CHILDERS & ASSOCIATES, D.D.S., PLLC
Active
Organization
CHILDERS & ASSOCIATES, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL CHILDERS (OFFICE ADMINISTRATOR)
(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
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4973
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467383
DR. DALE A. CHILDERS
NC
05
—
890138F
—
NC
05
—
8991553
—
NC
01
—
955715
UCCI-GROUP
NC
Enumeration date
04/17/2007
Last updated
10/21/2008
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