Provider Demographics
NPI:1932300597
Name:SEBASTIAN AND SPAULDING, D.D.S., P.A.
Entity Type:Organization
Organization Name:SEBASTIAN AND SPAULDING, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-859-7006
Mailing Address - Street 1:7722 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-4956
Mailing Address - Country:US
Mailing Address - Phone:919-859-7006
Mailing Address - Fax:919-859-7019
Practice Address - Street 1:7722 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-4956
Practice Address - Country:US
Practice Address - Phone:919-859-7006
Practice Address - Fax:919-859-7019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC-5787122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty