Healthcare Provider Details

I. General information

NPI: 1720283476
Provider Name (Legal Business Name): RANKIN & FIUME ORTHODONTICS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 MCCARTHY BLVD
NEW BERN NC
28562-5231
US

IV. Provider business mailing address

608 MCCARTHY BLVD
NEW BERN NC
28562-5231
US

V. Phone/Fax

Practice location:
  • Phone: 252-636-1900
  • Fax: 252-636-0318
Mailing address:
  • Phone: 252-636-1900
  • Fax: 252-636-0318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number5760
License Number StateNC

VIII. Authorized Official

Name: SHELIA GATLIN WARREN
Title or Position: FINANCIAL COORDINATOR
Credential:
Phone: 252-636-1900