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

Anthony R. Immediata, D M D, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1861643678

Anthony R. Immediata, D M D, PA is an Oral and Maxillofacial Surgery (Dentist) in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7101 Creedmoor Rd Ste 109
Raleigh, NC 27613-1682
Phone: (919) 846-5500
Fax: (919) 846-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5022 (NC)

Record details

NPI number1861643678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Sed — Office Manager · (919) 846-5500
NPI enumeratedOctober 10, 2008
Last updated in NPPESDecember 3, 2008
Mailing address7101 Creedmoor Rd, Suite 109, Raleigh, NC 27613-1682

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