NPIMap

Robert Daniel Avery Jr., D.D.S.

Individual provider Active NPI General Practice Dentistry · Fletcher, NC

NPI 1497765788 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497765788
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7582 (NC)
Practice address
235 St Johns Rd Ste K
235-K St. John Rd
Fletcher, NC 28732-8335
Phone
(828) 654-7450
Fax
(828) 654-8665
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

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
7582NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Family Dentistry General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7582 NC Yes

Addresses

Primary practice location

235 St Johns Rd Ste K
235-K St. John Rd
Fletcher, NC 28732-8335

Mailing address

PO Box 369
235-K St. John Rd
Fletcher, NC 28732-0369
Phone (828) 654-7450

Other providers in Fletcher, NC

All providers in Fletcher, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.