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Dentist · Raleigh, NC
At a glance
4558 Capital Blvd, Raleigh, NC 27604-4537
NPPES record updated Jun 11, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4558 Capital BlvdRaleigh, NC 27604-4537
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Dentist
- Taxonomy code
- 122300000X
- Enumeration date
- May 21, 2018
- Record updated
- Jun 11, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Dentist
122300000X · Primary
License reported: 8667 NC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4558 Capital BlvdRaleigh, NC 27604-4537
- Phone
- (919) 861-7814
Mailing address
4558 CAPITAL BLVDRALEIGH, NC 276044537
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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