Active NPI
DRS. Abdelbaky, Boes, Cameron & Associates of Fayetteville PLLC
- Pediatric Dentistry
- Fayetteville, NC
National Provider Identifier
1710692918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.