Anthony R. Immediata, D.m.d, P.a.
Oral and Maxillofacial Dental Clinic
7101 Creedmoor Rd, Suite 109, Raleigh
North Carolina, 27613-1682
919-846-5500 919-846-7964
Maps & DirectionsAnthony R. Immediata, D.m.d, P.a. is a Oral and Maxillofacial Dental Clinic in Raleigh, North Carolina. It is located at 7101 Creedmoor Rd, Suite 109, Raleigh, NC and its contact number is 919-846-5500. The authorized person for Anthony R. Immediata, D.m.d, P.a. is Ms. Barbara Sed
who is Office Manager of the clinic and their contact number is 919-846-5500. The primary license number for Anthony R. Immediata, D.m.d, P.a. is 5022 (Oral and Maxillofacial Surgery) in North Carolina.
Anthony R. Immediata, D.m.d, P.a. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Anthony R. Immediata, D.m.d, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Anthony R. Immediata, D.m.d, P.a. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 7101 Creedmoor Rd, Suite 109, Raleigh,
North Carolina, 27613-1682 |
| Phone: | 919-846-5500 |
| Fax: | 919-846-7964 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Barbara Sed |
| Position: | Office Manager |
| Contact Number: | 919-846-5500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Anthony R. Immediata, D.m.d, P.a. clinic are as mentioned below.
| NPI Number: | 1861643678 |
| NPI Enumeration Date: | 10 Oct, 2008 |
| NPI Last Update On: | 03 Dec, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anthony R. Immediata, D.m.d, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 5022 | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8994426 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Anthony R. Immediata, D.m.d, P.a.
7101 Creedmoor Rd, Suite 109
Raleigh, North Carolina |
| Zip: | 27613-1682 |
| Phone Number: | 919-846-5500 |
| Fax Number: | 919-846-7964 |
Patients can reach Anthony R. Immediata, D.m.d, P.a. at
7101 Creedmoor Rd, Suite 109, Raleigh, North Carolina or can
call to book an appointment on 919-846-5500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.