Individual
ANTHONY B MAIORANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1031 WEISS AVE, SUITE 201, FAYETTEVILLE, NC 28305-5630
(910) 689-1475
(910) 323-0015
Mailing address
1031 WEISS AVE, SUITE 201, FAYETTEVILLE, NC 28305-5630
(910) 689-1475
(910) 323-0015
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9139
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN013653
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918829
—
NC
Enumeration date
12/13/2006
Last updated
10/29/2012
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