1093161440 NPI number — DENNIS POLLEY II PA-C

Table of content: DENNIS POLLEY II PA-C (NPI 1093161440)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093161440 NPI number — DENNIS POLLEY II PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POLLEY
Provider First Name:
DENNIS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
II
Provider Credential Text:
PA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093161440
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1806 GLENDALE DRIVE
Provider Second Line Business Mailing Address:
POLLEY CLINIC OF DERMATOLOGY
Provider Business Mailing Address City Name:
WILSON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27893-4402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-243-0566
Provider Business Mailing Address Fax Number:
252-243-1347

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 BARCELONA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28303-4453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-243-0566
Provider Business Practice Location Address Fax Number:
252-243-1347
Provider Enumeration Date:
05/04/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  0010-06370 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0010-06370 . This is a "NC MEDICAL BOARD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com