OrganizationActive
Jerry S. Alvis, D.D.S., P.A.
NPI 1578743597 · Exclusive Provider Organization · Raleigh, NC
Provider details
- NPI number
- 1578743597
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jerry Alvis, Owner/Dentist(919) 782-5752
- License
- 6792 (NC)
Specialties & taxonomies
Managed Care Organizations
Practice location
5603 Duraleigh Rd
Suite 131
Raleigh, NC 27612-2688
Phone: (919) 782-5752
Approximate (ZIP-level) locationGet directions
Mailing address
5603 Duraleigh Rd
Raleigh, NC 27612-2688
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.