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NPI 1447374129 · live from the CMS NPI Registry

Chauncy F. Nelson DDS, PA

Dentist, Orthodontics and Dentofacial Orthopedics in Fayetteville, NC. National Provider Identifier 1447374129, active.

NPI record

NPI1447374129 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location2135 Valleygate Dr Ste 201, Fayetteville, NC 28304
Practice phone910-860-1991
EnumeratedMarch 19, 2007
Last updatedSeptember 19, 2022
Authorized officialChauncy Nelson, Orthodontist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X5591 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.