Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1134468564

Organization Dental Clinic/Center · NPI 1235916636

1134468564 is a Dental Clinic/Center in Raleigh, North Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

7841 Alexander Promenade Pl # S100
Raleigh, NC 27617-1913
Phone: (919) 354-5400
Fax: (919) 354-5401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1235916636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danesha Horton — Financial Coordinator · (919) 354-5400
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address7841 Alexander Promenade Pl # S100, Raleigh, NC 27617-1913

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