Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dennis Polley II, PA-C

Individual provider Physician Assistant · NPI 1093161440

Dennis Polley II, PA-C is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2015, 11 years ago. Practices with Polley Clinic of Dermatology and Dermatologic Surgery, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

106 Barcelona Dr
Fayetteville, NC 28303-4453
Phone: (252) 243-0566
Fax: (252) 243-1347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Barcelona Dr, Fayetteville, NC 28303-4453 — (800) 243-0566

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06370 (NC)

Record details

NPI number1093161440
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Polley Clinic Of Dermatology And Dermatologic Surgery — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fayetteville