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R KELLY FAULK JR DDS PA
NPI 1235116724
Clinic/Center - Dental in Sanford, NC

Active since December 27, 2005
1806 DOCTORS DR, SANFORD, NC 27330(919) 774-9419(919) 774-1404 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About R Kelly Faulk Jr Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R KELLY FAULK JR DDS PA (NPI 1235116724) is a healthcare organization registered as a dental in Sanford, North Carolina and active in the NPI registry since December 2005. The organization lists Randolph Kelly Faulk, Owner, as its authorized official.

NPPES Registry Identity

NPI1235116724
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameR KELLY FAULK JR DDS PA
Location Address1806 DOCTORS DRSanford, NC 27330
Mailing Address1806 Doctors DrSanford, NC 27330 · (919) 774-9419 · Fax (919) 774-1404
Phone(919) 774-9419
Fax(919) 774-1404
Organization SubpartNo
Authorized OfficialRandolph Kelly FaulkOwner · (919) 774-9419
Enumeration DateDecember 27, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235116724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NC · 6030
1806 DOCTORS DR, Sanford, NC 27330
Open in Google Maps ↗

Other Identifiers 2

Medicaid8992816NC
Other8992816NC · Bcbs

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDOLPH KELLY FAULK JR. DDS
Dentist
1806 DOCTORS DR
SANFORD, NC 27330
Lee County (919) 774-9419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Kelly Faulk Jr Dds PA's NPI number?

The NPI number for R Kelly Faulk Jr Dds PA is 1235116724. It was assigned to this organization in the NPPES registry on December 27, 2005.

Where is R Kelly Faulk Jr Dds PA located?

R Kelly Faulk Jr Dds PA is located at 1806 Doctors Dr, Sanford, NC 27330. The listed phone number is (919) 774-9419.

What is R Kelly Faulk Jr Dds PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for R Kelly Faulk Jr Dds PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.