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DR. DALE A CHILDERS DDS
NPI 1730272402
Dentist - Oral and Maxillofacial Surgery in Fayetteville, NC

Active since October 02, 2006
2409 ROBESON STREET, FAYETTEVILLE, NC 28305(910) 483-9546(910) 483-8550 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dale A Childers Dds NPPES

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

DR. DALE A CHILDERS DDS (NPI 1730272402) is an individual oral and maxillofacial surgery provider in Fayetteville, North Carolina, licensed in North Carolina (4973) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730272402
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DALE A CHILDERSCredential: DDS
Location Address2409 ROBESON STREETFayetteville, NC 28305
Mailing Address2409 Robeson StreetFayetteville, NC 28305 · (910) 483-9546 · Fax (910) 483-8550
Phone(910) 483-9546
Fax(910) 483-8550
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1730272402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NC · 4973
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2409 ROBESON STREET, Fayetteville, NC 28305
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Other Identifiers 7

Medicare UPINT63841NC
Medicare ID-Type Unspecified241136ANC · Individual #
Medicaid8991553NC
Other467383NC · Individual #-united Conco
Medicare ID-Type Unspecified2415242NC · Group #
Other955715NC · Group #-united Concordia
Medicaid890138FNC

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 Dale Childers's NPI number?

The NPI number for Dale Childers is 1730272402. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Dale Childers located?

Dale Childers practices at 2409 Robeson Street, Fayetteville, NC 28305. The listed phone number is (910) 483-9546.

What is Dale Childers's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dale Childers was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.