| Edward F. Scammon Dmd Pa | |
|
8159 Raeford Rd Fayetteville NC 28304-5981 | |
| (910) 826-4900 | |
| Not Available |
| Full Name | Edward F. Scammon Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 8159 Raeford Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Edward Floyd Scammon (PRESIDENT) |
| Authorized Official Contact | 9108264900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward F. Scammon Dmd Pa 8159 Raeford Rd Fayetteville NC 28304-5981 Ph: (910) 826-4900 | Edward F. Scammon Dmd Pa 8159 Raeford Rd Fayetteville NC 28304-5981 Ph: (910) 826-4900 |
| NPI Number | 1700921988 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/12/2013 |
| Medicare PECOS PAC ID | 4789816349 |
|---|---|
| Medicare Enrollment ID | O20140414000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700921988 | NPI | - | NPPES |
| 8997578 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6537 (North Carolina) | Primary |
| Provider Name | Edward F Scammon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306981550 PECOS PAC ID: 0648402214 Enrollment ID: I20140414000638 |
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