Phillip McIver DDS PA

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Fairmont, NC

NPI 1104679448 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1104679448
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name
PHILLIP MCIVER DDS PA
Practice address
304 Iona St
Fairmont, NC 28340-1618
Phone
(910) 628-7166
Fax
(910) 535-4306
NPI assigned
Apr 8, 2024
Organization subpart
No

Authorized official

Name
Philip S McIver
Title
Owner-Dentist
Phone
(910) 628-7166

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Eastern Pines Oral Maxillo (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X SINGLE SPECIALTY GROUP
1223S0112X Yes

Addresses

Primary practice location

304 Iona St
Fairmont, NC 28340-1618

Mailing address

304 Iona St
Fairmont, NC 28340-1618
Phone (910) 628-7166

Other names

  • Partners Dental Extraction Center of Fairmont PLLC Doing business as

Other providers in Fairmont, NC

All providers in Fairmont, NC · Oral and Maxillofacial Surgery (Dentist) in North Carolina

Sources for this page

Verify at the official NPI Registry.