Christina Boctor, DDS

Individual provider Active NPI General Practice Dentistry · Holly Springs, NC

NPI 1033840640 · NPPES record last updated Jun 23, 2022

Key facts

NPI
1033840640
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12712 (NC)
Practice address
349 Earnie LN
Holly Springs, NC 27540-9186
Phone
(919) 825-3131
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12712NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Molta & Moore DDS PLLC General Practice Past
since Jun 26, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12712 NC Yes

Addresses

Primary practice location

349 Earnie LN
Holly Springs, NC 27540-9186

Mailing address

349 Earnie LN
Holly Springs, NC 27540-9186

Other providers in Holly Springs, NC

All providers in Holly Springs, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.