Provider Demographics
NPI:1467277574
Name:DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF HOLLY SPRINGS, PLLC
Entity type:Organization
Organization Name:DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF HOLLY SPRINGS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-568-5773
Mailing Address - Street 1:PO BOX 604313
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-4313
Mailing Address - Country:US
Mailing Address - Phone:919-977-0627
Mailing Address - Fax:919-435-1110
Practice Address - Street 1:1070 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6099
Practice Address - Country:US
Practice Address - Phone:919-977-0627
Practice Address - Fax:919-435-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty