Anthony R. Immediata, D.M.D, P.A.

LBN: Anthony R. Immediata, D.M.D, P.A.
Anthony R. Immediata, D.M.D, P.A. is an health care organization with primary practice located at 7101 Creedmoor Rd Suite 109, Raleigh NC 27613-1682. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Anthony R. Immediata, D.M.D, P.A. can be contacted via phone (919) 846-5500, or through Sed, Barbara via phone (919) 846-5500.

Contact Information

Primary practice address
7101 Creedmoor Rd Suite 109 Raleigh NC 27613-1682
Phone: (919) 846-5500
Fax: (919) 846-7964
Website:
Map and Directions
Authorized official contact:
Name: Sed, Barbara
Phone: (919) 846-5500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5022 North Carolina

Profile Details

NPI number 1861643678
LBN Legal business name Anthony R. Immediata, D.M.D, P.A.
DBA Doing business as
Authorized official Sed, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2008
Last updated Dec 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861643678 NPPES
North Carolina MEDICAID 8994426

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