Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTHONY RUSSELL IMMEDIATA, DMD, PA
Active Sole ProprietorDR. ANTHONY RUSSELL IMMEDIATA, DMD, PA is a Oral & Maxillofacial Surgery healthcare provider located in RALEIGH, North Carolina. NPI 1609809292 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · RALEIGH, NC
Registration Details
- NPI Number
- 1609809292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2006 (20.060037774161 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5022 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7101 CREEDMOOR RDSUITE 109RALEIGH, NC, 276131682Browse NC providers · Browse ZIP 27613
- Phone
- 9198465500
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL L. POTTER | — | 1609847342 |
| DR. KHASHAYAR KEVIN NESHAT | DDS, MD | 1992755524 |
| DR. KENNETH J. BENSON | D.D.S. | 1326099458 |
| DR. MARK FRANKLIN KOZACKO | DDS PA | 1952337685 |
| DR. SCOTT ALAN HUM | DMD, MS | 1740216456 |
| ROY E GAINES JR. | D.D.S., M.D. | 1679675292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.