MEDICARE: DRESSEN MEDICAL SUPPLY, INC

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	332BC3200X	Customized Equipment (DME)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	756	NC
3	332BX2000X	Oxygen Equipment & Supplies (DME)	756	NC
4	332B00000X	Durable Medical Equipment & Medical Supplies	756	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790785541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRESSEN MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	PO BOX 248
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-0248
Country	:	US
Telephone Number	:	919-577-6458
Fax Number	:	919-577-6459

Provider Business Practice Location Address
First Line	:	156 THOMAS MILL RD
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-9372
Country	:	US
Telephone Number	:	919-577-6458
Fax Number	:	919-577-6459

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	MR. EDWARD J. DRESSEN
Credential	:
Telephone Number	:	919-577-6458

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	12/11/2020

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