Organization
RYAN, JAMES, WILES, PATEL & OLSEN LLP
Active
Other names
Village Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA C PATE (REVENUE CYCLE DIRECTOR)
(910) 484-7070
Entity
Organization
Contact information
Practice address
312 W MCLEAN ST, SAINT PAULS, NC 28384-1726
(910) 865-5188
(910) 865-3015
Mailing address
PO BOX 365, SAINT PAULS, NC 28384-0365
(910) 865-5188
(910) 865-3015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890203G
—
NC
Enumeration date
08/18/2006
Last updated
10/10/2025
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