Organization · Type 2 NPI

Macon, Collie, Pretzer, Kornstein and Hicks DDS

Pediatric Dentistry · Raleigh, NC

NPI number 1306894597 Active

Practice location

7401 Creedmoor Rd
Raleigh, NC 27613-1640

Fax (919) 846-3550

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	2934 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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NPI record

NPI: 1306894597
Entity type: Organization (Type 2)
Issued: May 4, 2006
Last updated: Oct 5, 2023
Status: Active

Other names

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Wake Orthodontics & Pediatric Dentistry · doing business as
Wake Orthodontics & Pediatric Dentistry · doing business as

Authorized official

Linda Tarantino
Practice Manager
(919) 719-1780

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306894597

Macon, Collie, Pretzer, Kornstein and Hicks DDS's National Provider Identifier is 1306894597, issued on May 4, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Raleigh, NC. The record was last updated on Oct 5, 2023.