DR. DALE A CHILDERS


Address: 2409 Robeson Street, Fayetteville, NC 28305
Phone: 9104839546

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
4973 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC INDIVIDUAL #-UNITED CONCO 467383 01
NC GROUP #-UNITED CONCORDIA 955715 01
NC 890138F 05
NC 8991553 05

Office Location

Street Address 2409 ROBESON STREET
City FAYETTEVILLE
State NC
Zip Code 28305

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City FAYETTEVILLE
Zip Code 28305

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Dataset Information

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.

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