Provider Demographics
NPI:1770258345
Name:BELFORD, DALLAS DENEEN (PA-C)
Entity type:Individual
Prefix:
First Name:DALLAS
Middle Name:DENEEN
Last Name:BELFORD
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5601 ARRINGDON PARK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5677
Mailing Address - Country:US
Mailing Address - Phone:618-841-7649
Mailing Address - Fax:919-660-5044
Practice Address - Street 1:5601 ARRINGDON PARK DR STE 300
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5677
Practice Address - Country:US
Practice Address - Phone:919-660-5066
Practice Address - Fax:919-660-5044
Is Sole Proprietor?:No
Enumeration Date:2021-08-14
Last Update Date:2024-09-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant