DR. DALE A CHILDERS (NPI# 1730272402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730272402 |
Entity Type | Individual |
Full Name | DR. DALE A CHILDERS |
Credential | DDS |
Practice Address |
2409 Robeson Street Fayetteville NC 28305 |
Practice Telephone | 9104839546 |
Practice Fax Number | 9104838550 |
Mailing Telephone | 9104839546 |
Mailing Fax Number | 9104838550 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4973 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | INDIVIDUAL #-UNITED CONCO | 467383 | 01 |
NC | GROUP #-UNITED CONCORDIA | 955715 | 01 |
NC | 890138F | 05 | |
NC | 8991553 | 05 |
Street Address |
2409 ROBESON STREET |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
1689608259 | Henry Zack Smith | Dentist | 573 Executive Place, Fayetteville, NC 28305 | 2006-07-10 |
Find all providers in zip 28305 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689031023 | Thomas A. Sarna Dds,pllc | Dentist | 3533 North Shiloh Drive Suite 3, Fayetteville, AR 72703 | 2016-01-15 |
1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
1326345323 | Patton Mark Minkin | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703 | 2011-02-28 |
1568693877 | Jeffrey E Aycock | Dentist | 1031 Weiss Ave Ste 201, Fayetteville, NC 28305-5630 | 2009-08-04 |
1144342007 | Sylvester Own Smith IIi | Dentist | 1417 Fort Bragg Road, Fayetteville, NC 28305-4707 | 2007-04-04 |
1881710945 | Joshua Russell Cross | Dentist | 163 W Van Asche Loop, Fayetteville, AR 72703-4974 | 2007-03-21 |
1083772438 | Richard Clayton Adams | Dentist | 413 Owens Drive, Suite 102, Fayetteville, NC 28304 | 2006-12-05 |
1518037076 | James Buck Hays | Dentist | 2025 N Green Acres Rd, Fayetteville, AR 72703-2619 | 2006-11-09 |
1114006020 | Kenneth Ray Collins Jr. | Dentist | 100 Carnegie Pl, Suite 108, Fayetteville, GA 30214-3905 | 2006-11-02 |
1275618019 | Vitkus and Scutari Dds, PC | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2006-10-26 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28305 |
Please comment or provide details below to improve the information on DR. DALE A CHILDERS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.