MEDICARE: MCDUFFIE HARRISON POINTE PLLC

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	261QD0000X	Dental Clinic/Center	6770	NC

General Provider Information

NPI Number	:	1336560705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCDUFFIE HARRISON POINTE PLLC

Provider Business Mailing Address
First Line	:	251 GRANDE HEIGHTS DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-3925
Country	:	US
Telephone Number	:	919-466-0076
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 GRANDE HEIGHTS DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-3925
Country	:	US
Telephone Number	:	919-466-0076
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. JAMEL MCDUFFIE
Credential	:	DDS
Telephone Number	:	919-949-4755

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	01/02/2014

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