R KELLY FAULK JR DDS PA – NPI #1235116724
Clinic/Center
R KELLY FAULK JR DDS PA is an AHC clinic located in SANFORD, NC. NPPES has assigned the NPI number 1235116724 to R KELLY FAULK JR DDS PA on December 27, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for R KELLY FAULK JR DDS PA below.
NPI Profile for
R KELLY FAULK JR DDS PA
(more than 20 years ago)
SANFORD, NC 27330 Phone: (919) 774-9419 Fax: (919) 774-1404
OWNER
Phone: (919) 774-9419
Identifiers for R KELLY FAULK JR DDS PA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | NC | 8992816 |
| MEDICAID | NC | 8992816 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QD0000X - Clinic/Center / Dental (Primary) |
NC | 6030 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.