Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 DAVIS DR STE 209
MORRISVILLE NC
27560-6005
US

IV. Provider business mailing address

3607 DAVIS DR STE 209
MORRISVILLE NC
27560-6005
US

V. Phone/Fax

Practice location:
  • Phone: 919-977-0627
  • Fax:
Mailing address:
  • Phone: 919-977-0627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8369
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8432
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: HESHAM SAMY ABDELBAKY
Title or Position: OWNER
Credential: DDS
Phone: 919-977-0627