MEDICARE: DR. YONESHA VAL PHAIR D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	057537	NY
2	122300000X	Dentist	10980	NC
3	1223G0001X	General Practice Dentistry	10980	NC

General Provider Information

NPI Number	:	1225370216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YONESHA VAL PHAIR D.D.S

Provider Business Mailing Address
First Line	:	8039 BEAVER DAM RD
Second Line	:
City	:	AUTRYVILLE
State	:	NC
Zip	:	28318-7657
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 SKIBO RD STE 104
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-3161
Country	:	US
Telephone Number	:	910-605-4106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2013
Last Update Date	:	02/25/2026

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