Charlene Enolpe Fickey | Jacksonville, NC • PECOS Search

Charlene Enolpe Fickey

Dentist

Dental Providers

3847 Henderson Dr, Jacksonville, NC 28546-5228

PECOS Enrollment

Based on the most recent information from CMS, provider Charlene Enolpe Fickey does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1629760046
Provider Type
Individual
Full Name
Fickey, Charlene Enolpe
Title
Dr.
Credential
DMD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/24/2023
Last Updated
5/24/2023

Contact Information

Practice Location

3847 Henderson Dr, Jacksonville, NC 28546-5228

Unlisted Fax

Mailing Location

3847 Henderson Dr, Jacksonville, NC 28546-5228

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 13218 North Carolina