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Madison Leigh Sipes

Dentist

Dental Providers

1701 Country Club Rd, Jacksonville, NC 28546-6005

PECOS Enrollment

This provider is enrolled in PECOS as MADISON SIPES.

Based on the most recent information from CMS, provider Madison Leigh Sipes is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1538892799
Provider Type
Individual
Full Name
Sipes, Madison Leigh
Title
Dr.
Credential
DMD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/6/2022
Last Updated
7/6/2022

Contact Information

Practice Location

1701 Country Club Rd, Jacksonville, NC 28546-6005

(910) 346-2345

Unlisted Fax

Mailing Location

101 Grander Ct, Sneads Ferry, NC 28460-1406

(814) 505-3236

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 12874 North Carolina

Madison Leigh Sipes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Armstrong, Karen J

Norris, Rhonda H

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Bell, Thomas W

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Wilson, James R

Miller And Associates Three Pllc

Fickey, Charlene Enolpe

Martinez, Alfredo Velasco

Taylor-Williams, Veronica Latrelle