Healthcare Provider Details

I. General information

NPI: 1548344427
Provider Name (Legal Business Name): EDWARD RAYMOND ALTHERR DMD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 W WILLIAMS ST SUITE 101
APEX NC
27502-3979
US

IV. Provider business mailing address

1011 W WILLIAMS ST SUITE 101
APEX NC
27502-3979
US

V. Phone/Fax

Practice location:
  • Phone: 919-363-2221
  • Fax: 919-363-2396
Mailing address:
  • Phone: 919-363-2221
  • Fax: 919-363-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number6932
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: