Individual ProviderStephen Craig FutrellDentistDental ProvidersPractice Address32 Office Park Drive, Jacksonville, NC 28546(910) 353-8200PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Craig Futrell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1417043050Provider TypeIndividualFull NameFutrell, Stephen CraigCredentialDDSGenderMaleSole ProprietorNoEnumeration Date10/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address32 Office Park Drive, Jacksonville, NC 28546Phone(910) 353-8200Fax(910) 353-2196Mailing LocationMailing Address32 Office Park Drive, Jacksonville, NC 28546Phone(910) 353-8200Fax(910) 353-2196Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense6432North CarolinaProvider IdentifiersIDDescriptionIssuerID92984DescriptionMedicaidIssuerUnlistedNorth Carolina