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Organization

ROBERT T BUSEY, D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT T BUSEY (DENTIST OWNER)
(828) 628-3504
Entity
Organization

Contact information

Practice address
12 OLD FORT RD, FAIRVIEW, NC 28730
(828) 628-3504
Mailing address
12 OLD FORT RD, FAIRVIEW, NC 28730-9758
(828) 628-3504

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205944766
TYPE 1 NPI
NC
Enumeration date
05/10/2007
Last updated
12/14/2009
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