Organization
FIRSTHEALTH DENTAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
314 TEAL DR, RAEFORD, NC 28376-2528
(910) 904-7450
(910) 904-7474
Mailing address
314 TEAL DR, RAEFORD, NC 28376-2528
(910) 904-7450
(910) 904-7474
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
H0100
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-015XV
—
NC
Enumeration date
01/26/2006
Last updated
12/04/2024
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