NPI 1144254632 · live from the CMS NPI Registry
Frederick Allen Booth, DDS,MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Fayetteville, NC. National Provider Identifier 1144254632, active.
NPI record
| NPI | 1144254632 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 222 Fairway Dr, Fayetteville, NC 28305 |
| Practice phone | 910-484-8190 |
| Enumerated | July 10, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 3650 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.