Organization Active NPI

DRS. Abdelbaky, Boes, Cameron & Associates of Fayetteville PLLC

  • Pediatric Dentistry
  • Fayetteville, NC
National Provider Identifier
1710692918
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF FAYETTEVILLE PLLC
Practice address
2350 Bentridge LN Ste 301
Fayetteville, NC 28304-0590
Phone
(919) 977-0627
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Kim Davis
Title
RCM Director
Phone
(703) 568-5773

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

2350 Bentridge LN Ste 301
Fayetteville, NC 28304-0590

Mailing address

PO Box 604129
Charlotte, NC 28260-4129
Phone (248) 550-5440

Other names 1

  • Carolina Orthodontics and Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2350 Bentridge Ln
Ste 301
Fayetteville, NC 28304

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1710692918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604129",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604129",
            "telephone_number": "248-550-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BENTRIDGE LN STE 301",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040590",
            "telephone_number": "919-977-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF FAYETTEVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "703-568-5773"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Orthodontics and Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.