Healthcare Provider Details

I. General information

NPI: 1669430013
Provider Name (Legal Business Name): ROBERT BUCHANAN NAY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/14/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6406 MCCRIMMON PARKWAY SUITE 240
MORRISVILLE NC
27560
US

IV. Provider business mailing address

6406 MCCRIMMON PARKWAY SUITE 240
MORRISVILLE NC
27560
US

V. Phone/Fax

Practice location:
  • Phone: 919-380-9922
  • Fax: 919-342-8965
Mailing address:
  • Phone: 919-714-2344
  • Fax: 919-342-8965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS035231
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: