Provider Demographics
| NPI: | 1740179290 |
|---|---|
| Name: | DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF LEXINGTON, PLLC |
| Entity type: | Organization |
| Organization Name: | DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF LEXINGTON, PLLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | RCM 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 604377 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CHARLOTTE |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 28260-4377 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 919-977-0627 |
| Mailing Address - Fax: | 919-435-1110 |
| Practice Address - Street 1: | 1370 PIEDMONT DR STE 200 |
| Practice Address - Street 2: | |
| Practice Address - City: | LEXINGTON |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27295-2053 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 252-292-1349 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-06-30 |
| Last Update Date: | 2025-07-02 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |