Dr. Anthony Russell Immediata is a Raleigh, North Carolina based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Anthony Russell Immediata is 5022 for Oral and Maxillofacial Surgery in North Carolina. His current practice location is 7101 Creedmoor Rd, Suite 109, Raleigh. Patients can reach him at 919-846-5500.
Dr. Anthony Russell Immediata 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 Profile:
Dr. Anthony Russell Immediata speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Anthony Russell Immediata
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DMD, PA
Accepts Medicare Assignment:
No
Practice Address:
7101 Creedmoor Rd, Suite 109, Raleigh, North Carolina, 27613-1682
Phone:
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 are as mentioned below.
NPI Number:
1609809292
NPI Enumeration Date:
08 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anthony Russell Immediata are as mentioned below.
License Number
Specialization
State
Status
5022
Oral and Maxillofacial Surgery
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Anthony Russell Immediata 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:
7101 Creedmoor Rd, Suite 109 Raleigh, North Carolina
Zip:
27613-1682
Phone Number:
919-846-5500
Patients can reach Dr. Anthony Russell Immediata at 7101 Creedmoor Rd, Suite 109, Raleigh, North Carolina or can call to book an appointment on 919-846-5500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.