Healthcare Provider Details

I. General information

NPI: 1982018313
Provider Name (Legal Business Name): DR. ADAMSON & ASSOC., HOPE MILLS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2997 HOPE MILLS RD STE C
FAYETTEVILLE NC
28306-8349
US

IV. Provider business mailing address

2997 HOPE MILLS RD STE C
FAYETTEVILLE NC
28306-8349
US

V. Phone/Fax

Practice location:
  • Phone: 910-426-0800
  • Fax: 216-584-1131
Mailing address:
  • Phone: 910-426-0800
  • Fax: 216-584-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9180
License Number StateNC

VIII. Authorized Official

Name: DR. KURT B ADAMSON
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 910-426-0800