Provider Demographics
NPI:1447039813
Name:JEFF CASEBIER DMD PLLC
Entity type:Organization
Organization Name:JEFF CASEBIER DMD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:CASEBIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-343-4254
Mailing Address - Street 1:551 ABBEY FIELDS LOOP
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5548
Mailing Address - Country:US
Mailing Address - Phone:808-343-4254
Mailing Address - Fax:
Practice Address - Street 1:100 RIDGE VIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5589
Practice Address - Country:US
Practice Address - Phone:919-481-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment