DR. ELALI ALISHA MARIE MOUKWA


Address: 1916 Skibo Rd Ste C3, Fayetteville, NC 28314
Phone: 9104845141

DR. ELALI ALISHA MARIE MOUKWA (NPI# 1760900153) 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) 1760900153
Entity Type Individual
Full Name DR. ELALI ALISHA MARIE MOUKWA
Credential DMD
Practice Address 1916 Skibo Rd Ste C3
Fayetteville
NC 28314
Mailing Address 1916 Skibo Rd Ste C3
Fayetteville
NC 28314-1500
Practice Telephone 9104845141
Enumeration Date 2017-09-06
Last Update Date 2019-08-01
NPI Deactivation Date 06/29/2018
NPI Reactivation Date 2018-07-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
11525 NC Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11521 Parkway Dr, Irwin, PA 15642 7243828666

Office Location

Street Address 1916 SKIBO RD STE C3
City FAYETTEVILLE
State NC
Zip Code 28314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548879372 Chloe Reyes Dentist 1916 Skibo Rd Ste C3, Fayetteville, NC 28314-1500 2020-07-28
1033771597 Elias Kemuel Pabon-vazquez Dentist 1916 Skibo Rd Ste C3, Fayetteville, NC 28314-1500 2019-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528677812 Lamonica Laveta Greene Massage Therapist 7804 Loxley Drive, Fayetteville, NC 28314 2020-07-23
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1780231894 Bio-medical Applications of North Carolina, Inc. Clinic/Center 2360 Williamwood Lane, Fayetteville, NC 28314 2019-08-22
1164075982 A Touch of Grace Inc Day Training/Habilitation Specialist 2153 Heathcote Drive, Fayetteville, NC 28314 2019-07-21
1093284465 Candice Gorremans Physician Assistant 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 2018-11-15
1861983439 Jessica Lynne Smith Counselor 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 2018-05-19
1073003752 Gooden Mobile Pod Nc Pllc Podiatrist 311 Mcfadyen Dr, Fayetteville, NC 28314 2018-05-17
1093222101 Lauren Bonneau Behavioral Analyst 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 2018-01-10
1902329618 Tracy Lynn Taylor Behavioral Analyst 673 Prestige Blvd, Fayetteville, NC 28314 2017-07-25
Find all providers in zip 28314

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1972151439 Ikenna K Okons Dentist 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 2019-08-28
1114488079 Bianca Kristina Adams Dentist 207 Forest Creek Dr, Fayetteville, NC 28303-5496 2019-03-25
1194226506 Michael E. Carter, Dds, Pllc Dentist 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 2018-02-22
1548781107 Christopher Heard Dentist 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 2017-07-03
1881123305 Kenneth Boyd Lewis Jr. Dentist 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 2017-06-08
1518496215 Van Michael Mcqueen Jr. Dentist 640 N Garland Ave # 104, Fayetteville, AR 72701 2017-06-06
1710415229 Alan Kuo Dentist 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 2017-05-28
1508304866 Karan G Mirchandani Dentist 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 2017-02-07
1174991582 Tenecia Nychelle Hall Dentist 100 Brookcrest Ct, Fayetteville, GA 30215-8150 2015-09-02
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28314

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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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