NPI 1003252917

Kenly Lewis Dine, DDS

Practitioner Dentist Fayetteville, NC

Practice location

Address: 4140 Ramsey St Suite 104, Fayetteville, NC 28311-7672
Phone: (910) 670-6321

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 9496 (NC)

Other Dentist providers in North Carolina →

Registry record

NPI: 1003252917
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2013
Record last updated: 25 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.