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NPI Code Detail

MEDICARE: RYAN, JAMES, WILES, PATEL & OLSEN LLP

MEDICARE: RYAN, JAMES, WILES, PATEL & OLSEN LLP
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
11223G0001XGeneral Practice Dentistry7446NC

General Provider Information

NPI Number : 1285055848
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYAN, JAMES, WILES, PATEL & OLSEN LLP
Provider Business Mailing Address
First Line : 2028 LITHO PL STE 300
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-2538
Country : US
Telephone Number : 910-485-7070
Fax Number : 910-485-1151
Provider Business Practice Location Address
First Line : 1357 WALTER REED RD STE 101
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4417
Country : US
Telephone Number : 910-483-2700
Fax Number : 910-484-3352
Authorized Official
Title or Position : REVENUE CYCLE DIRECTOR
Name : CHRISTINA C PATE
Credential :
Telephone Number : 910-484-7070
Provider Enumeration Date : 12/30/2013
Last Update Date : 10/10/2025

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Directions to “RYAN, JAMES, WILES, PATEL & OLSEN LLP ” Practice Location

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