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Contact Information

AHMED ADEL M FATHY
9425 NC-305
JACKSON, NC27845
 Phone: 252-534-1661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AHMED ADEL M FATHY · (Male)

NPI # 1093535940
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2024
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 14440
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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