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ANTHONY R. IMMEDIATA, D.M.D, P.A.
NPI 1861643678
Dentist - Oral and Maxillofacial Surgery in Raleigh, NC

Active since October 10, 2008
7101 CREEDMOOR RD, SUITE 109, RALEIGH, NC 27613(919) 846-5500(919) 846-7964 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony R. Immediata, D.m.d, P.a. NPPES

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

ANTHONY R. IMMEDIATA, D.M.D, P.A. (NPI 1861643678) is a healthcare organization registered as an oral and maxillofacial surgery in Raleigh, North Carolina and active in the NPI registry since October 2008. The organization lists Barbara Sed, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861643678
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameANTHONY R. IMMEDIATA, D.M.D, P.A.
Location Address7101 CREEDMOOR RD, SUITE 109Raleigh, NC 27613-1682
Mailing Address7101 Creedmoor Rd, Suite 109Raleigh, NC 27613-1682 · (919) 846-5500 · Fax (919) 846-7964
Phone(919) 846-5500
Fax(919) 846-7964
Organization SubpartNo
Authorized OfficialBarbara SedOffice Manager · (919) 846-5500
Enumeration DateOctober 10, 2008
Last NPPES UpdateDecember 3, 2008
✔ NPI 1861643678 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 · 5022
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.
7101 CREEDMOOR RD, Raleigh, NC 27613
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Other Identifiers 2

Medicaid8994426NC
Medicare PIN2340076NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. JANICE C HIRSCH PTA
Physical Therapy Assistant
7101 CREEDMOOR RD
RALEIGH, NC 27613
Wake County (919) 848-3333
DR. ANTHONY RUSSELL IMMEDIATA DMD, PA
Dentist (Oral and Maxillofacial Surgery)
7101 CREEDMOOR RD, SUITE 109
RALEIGH, NC 27613
Wake County (919) 846-5500
SMITA VERMA PT
Physical Therapist (Orthopedic)
7101 CREEDMOOR RD, SUITE 102
RALEIGH, NC 27613
Wake County (919) 848-3333
DR. DICIE DAVINA NATHANI DC
Chiropractor
7101 CREEDMOOR RD, SUITE 102
RALEIGH, NC 27613
Wake County (919) 848-3333

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 Anthony R. Immediata, D.M.D, P.A.'s NPI number?

The NPI number for Anthony R. Immediata, D.M.D, P.A. is 1861643678. It was assigned to this organization in the NPPES registry on October 10, 2008.

Where is Anthony R. Immediata, D.M.D, P.A. located?

Anthony R. Immediata, D.M.D, P.A. is located at 7101 Creedmoor Rd Suite 109, Raleigh, NC 27613. The listed phone number is (919) 846-5500.

What is Anthony R. Immediata, D.M.D, P.A.'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 Anthony R. Immediata, D.M.D, P.A. was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.