Willowdaile Family Dentistry

LBN: Debora A. Bolton, Dds, Pa
Willowdaile Family Dentistry is an health care organization with primary practice located at 3823 Guess Rd Suite P, Durham NC 27705-1505. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Debora A. Bolton, Dds, Pa can be contacted via phone (919) 479-5800, or through Bolton, Debora A via phone (919) 479-5800.

Contact Information

Primary practice address
3823 Guess Rd Suite P Durham NC 27705-1505
Phone: (919) 479-5800
Fax: (919) 620-9244
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Debora A Doctor of Dental Surgery (DDS)
Phone: (919) 479-5800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7251 North Carolina

Profile Details

NPI number 1104007996
LBN Legal business name Debora A. Bolton, Dds, Pa
DBA Doing business as Willowdaile Family Dentistry
Authorized official Bolton, Debora A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Nov 20th, 2007 - about 18 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 1104007996 NPPES
North Carolina MEDICAID 5900493

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