Organization
CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE LEIGH DOUGLAS (INSURANCE COORDINATOR)
(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
261QD0000X
Dental Clinic/Center
Primary
8750
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911969
—
NC
Enumeration date
09/19/2013
Last updated
09/19/2013
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