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Dr. WILLIE RUSSELL FAISON, DDS

NPI Number 1760452114

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Practice Location

  • Dept Of The Army, Dental Activity Stop B
    Fort Bragg, NC 28310
  • Phone: (910) 396-5610
  • Fax: (910) 396-7017

Business Location

  • Dept Of The Army, Dental Activity Stop B
    Fort Bragg, NC 28310
  • Phone: (910) 396-5610
  • Fax: (910) 396-7017

Other Information

  • Enumeration date: 01/26/2006
  • Last updat date: 04/19/2010
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 1223G0001X
  • License number: 6076
  • License number state code: KY
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1760452114 is assigned to Dr. Willie Russell Faison, Dds. Dr. Willie Russell Faison, Dds is practice in Fort Bragg, NC 28310 with phone number 9103965610. The number of page view of Dr. Willie Russell Faison, Dds is 45.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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