Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 6410 | NC |
NPI | 1083657597 |
---|---|
Provider Name | Dr. Yvette Mcalister Stokes |
First Address | Fayetteville, NC 28304-4445 |
Second Address | Fayetteville, NC 28304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 23/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
58764 | (02) | NC |
8995617 | (05) | NC |