Individual provider Active NPI

Molly Lynn Guy, DDS

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1164743191
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8967 Issued in NC
Practice address
2015 Valleygate Dr
Fayetteville, NC 28304-3757
Phone
(910) 485-7070
Fax
(910) 485-1151
NPI assigned
Jun 14, 2010
Last updated
Jun 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8967 NC Primary

Addresses

Primary practice location

2015 Valleygate Dr
Fayetteville, NC 28304-3757

Mailing address

2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688
Phone (910) 485-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612001371 NC Practitioner - Oral Surgery 3870804107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8967NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan, James, Wiles, Patel & Olsen LLP CurrentSince Apr 1, 2015 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP CurrentSince Apr 1, 2015 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP Past Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP Past Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP PastSince Jun 8, 2025 Accepting new patients

Locations

1031 Weiss Ave
#101
Fayetteville, NC 28305
Phone (910) 486-4180

2015 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 223-7011

2028 Litho Pl
Ste 300
Fayetteville, NC 28304
Phone (910) 485-7070

2029 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 485-8884

5710 Rockfish Rd
Hope Mills, NC 28348
Phone (910) 424-3623

Organizations & group practices 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1164743191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-8884",
            "fax_number": "910-485-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043757",
            "telephone_number": "910-485-7070",
            "fax_number": "910-485-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "MOLLY",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.