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General NPI Number Information
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NPI Number | 1659209211
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Entity Type | Organization
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Legal Business Name | PHILLIP MCIVER DDS PA
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 727 WESLEY PINES RD
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City | LUMBERTON
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State | NC
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Zip | 28358-2105
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Country | US
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Telephone | 910-535-4316
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Fax |
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Provider Business Mailing Address
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Address Line | 727 WESLEY PINES RD
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City | LUMBERTON
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State | NC
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Zip | 28358-2105
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Country | US
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Telephone | 910-535-4316
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP MCIVER
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Credential |
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Telephone | 919-995-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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