MEDICARE: DRS ABDELBAKY BOES CAMERON & ASSOCIATES OF MORRISVILLE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	8369	NC
2	122300000X	Dentist	8432	NC
3	332BC3200X	Customized Equipment (DME)
4	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1518107820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS ABDELBAKY BOES CAMERON & ASSOCIATES OF MORRISVILLE PLLC

Provider Business Mailing Address
First Line	:	3607 DAVIS DR STE 209
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-6005
Country	:	US
Telephone Number	:	919-977-0627
Fax Number	:

Provider Business Practice Location Address
First Line	:	3607 DAVIS DR STE 209
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-6005
Country	:	US
Telephone Number	:	919-977-0627
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HESHAM SAMY ABDELBAKY
Credential	:	DDS
Telephone Number	:	919-977-0627

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	04/17/2025

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