1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Clinic Center
  6. NPI Profile

CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
NPI 1790111953
Clinic/Center - Dental in Fayetteville, NC

Active since September 19, 2013
2409 ROBESON ST, FAYETTEVILLE, NC 28305(910) 483-9546(910) 483-8550 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cape Fear Oral And Maxillofacial Surgery NPPES

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

CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY (NPI 1790111953) is a healthcare organization registered as a dental in Fayetteville, North Carolina and active in the NPI registry since September 2013. The organization lists Jamie Leigh Douglas, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1790111953
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
Location Address2409 ROBESON STFayetteville, NC 28305-5549
Mailing Address2409 Robeson StFayetteville, NC 28305-5549 · (910) 483-9546 · Fax (910) 483-8550
Phone(910) 483-9546
Fax(910) 483-8550
Organization SubpartNo
Authorized OfficialJamie Leigh DouglasInsurance Coordinator · (910) 483-9546
Enumeration DateSeptember 19, 2013
✔ NPI 1790111953 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 · 8750
2409 ROBESON ST, Fayetteville, NC 28305
Open in Google Maps ↗

Other Identifiers 1

Medicaid5911969NC

Other Providers at the Same Location NPPES 4

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

RYAN, JAMES, WILES, PATEL & OLSEN LLP
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546
CHILDERS & ASSOCIATES, D.D.S., PLLC
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546
LARRY TABATCHNICK, DMD, PLLC
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546
DR. LARRY TABATCHNICK DMD, MD
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546

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 Cape Fear Oral And Maxillofacial Surgery's NPI number?

The NPI number for Cape Fear Oral And Maxillofacial Surgery is 1790111953. It was assigned to this organization in the NPPES registry on September 19, 2013.

Where is Cape Fear Oral And Maxillofacial Surgery located?

Cape Fear Oral And Maxillofacial Surgery is located at 2409 Robeson St, Fayetteville, NC 28305. The listed phone number is (910) 483-9546.

What is Cape Fear Oral And Maxillofacial Surgery'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 Cape Fear Oral And Maxillofacial Surgery was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.