| Carolina Comfort Dental | |
|
5511 Raeford Rd Ste 225 Fayetteville NC 28304-2060 | |
| (910) 485-0023 | |
| Not Available |
| Full Name | Carolina Comfort Dental |
|---|---|
| Speciality | Dentist |
| Location | 5511 Raeford Rd Ste 225, Fayetteville, North Carolina |
| Authorized Official Name and Position | Tan Binh Phan Nguyen (OWNER/ MANAGER) |
| Authorized Official Contact | 6787612457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Comfort Dental 2413 Thorngrove Ct Fayetteville NC 28303-4099 Ph: (910) 263-8034 | Carolina Comfort Dental 5511 Raeford Rd Ste 225 Fayetteville NC 28304-2060 Ph: (910) 485-0023 |
| NPI Number | 1174916902 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174916902 | NPI | - | NPPES |
| 5918338 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9227 (North Carolina) | Primary |
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