person
Dr. Dale A Childers, DDS
Oral and Maxillofacial Surgery (Dentist) in Fayetteville, North Carolina
NPI 1730272402

Dale A Childers is a Oral and Maxillofacial Surgery (Dentist) based in Fayetteville, NC and is specialized in Oral and Maxillofacial Surgery. Dale A Childers practices in Fayetteville, NC and has the professional credentials of DDS. The NPI Number for Dale A Childers is 1730272402 and holds a License No. 4973 (North Carolina).

The current practice location address for Dale A Childers is 2409 Robeson Street, Fayetteville, NC and can be reached out via phone at 910-483-9546 and via fax at 910-483-8550. You can also correspond with Dale A Childers through the mailing address at 2409 ROBESON STREET, FAYETTEVILLE, NC - 28305 (mailing address contact number: 910-483-9546).

Location: 2409 Robeson Street, Fayetteville, NC, 28305
person
Provider Profile Details
NPI Number
1730272402
Provider Name
Dale A Childers
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2409 Robeson Street, Fayetteville, NC, 28305
Phone Number
910-483-9546
Fax Number
910-483-8550
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8991553 05 NC
467383 01 NC INDIVIDUAL #-UNITED CONCO
955715 01 NC GROUP #-UNITED CONCORDIA
890138F 05 NC
institution
Provider Business Practice Location Address Details
Address
2409 Robeson Street
City
State
Zip
28305
Phone Number
910-483-9546
Fax Number
910-483-8550
person
Provider Business Mailing Address Details
Address
2409 Robeson Street
City
State
Zip
28305
Phone Number
910-483-9546
Fax Number
910-483-8550
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
4973 (North Carolina)
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.
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