Ferdinand Vincent Allison III, D.D.S.
Individual provider Active NPI General Practice Dentistry · Durham, NC
NPI 1265406789 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265406789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5656 (NC)
- Practice address
- 6208 Fayetteville Rd
Suite 102
Durham, NC 27713-6286 - Phone
- (919) 806-1996
- Fax
- (919) 484-8487
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009002838 | NC | Practitioner - Dentist | 4486185857 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5656 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current |
Accepting new patients | |
| East Carolina University | Current |
Accepting new patients | |
| F. Vincent Allison III, DDS, PA | General Practice | Past | Accepting new patients |
Locations
1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000
Interoperability endpoints
- fallison580399@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5656 | NC | Yes |
Addresses
Primary practice location
6208 Fayetteville Rd
Suite 102
Durham, NC 27713-6286
Mailing address
6208 Fayetteville Rd
Suite 102
Durham, NC 27713-6286
Phone (919) 806-1996
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90196 | Other | NC | BLUECROSSBLUESHIELD OF NC |
| 8990196 | Medicaid | NC |
Other providers in Durham, NC
- Christopher Lee Alley
- Ronald Alligood III
- Michael John Allingham
- Allison Joy Counseling
- Cassidy Megan Allison
- Jennifer Allison
- Katherine Shuttleworth Allison
- Margaret Allison
- Ok Chon Allison
- Sheila G Allison
All providers in Durham, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.