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Anthony R. Immediata, D.m.d, P.a.
Oral and Maxillofacial Surgery (Dentist) in Raleigh, North Carolina
NPI 1861643678

Anthony R. Immediata, D.m.d, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Raleigh, NC and is specialized in Oral and Maxillofacial Surgery. Anthony R. Immediata, D.m.d, P.a. practices in Raleigh, NC. The NPI Number for Anthony R. Immediata, D.m.d, P.a. is 1861643678 and holds a License No. 5022 (North Carolina).

The current practice location address for Anthony R. Immediata, D.m.d, P.a. is 7101 Creedmoor Rd, Raleigh, NC and can be reached out via phone at 919-846-5500 and via fax at 919-846-7964.

Location: 7101 Creedmoor Rd, Raleigh, NC, 27613-1682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861643678
Provider Name
Anthony R. Immediata, D.m.d, P.a.
Credential
Provider Entity Type
Organization
Address
7101 Creedmoor Rd, Raleigh, NC, 27613-1682
Phone Number
919-846-5500
Fax Number
919-846-7964
Provider Enumeration Date
10/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8994426 05 NC
institution
Provider Business Practice Location Address Details
Address
7101 Creedmoor Rd
City
Raleigh
State
North Carolina
Zip
27613-1682
Phone Number
919-846-5500
Fax Number
919-846-7964
person
Provider Business Mailing Address Details
Address
7101 Creedmoor Rd
City
Raleigh
State
North Carolina
Zip
27613-1682
Phone Number
919-846-5500
Fax Number
919-846-7964
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5022 (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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