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Sanford Dermatology Pllc

Dermatology Physician in Sanford, NC · enumerated 2014 · authorized official Jeffrey Queen, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205240868

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Registry record

Entity type Organization (Type 2)
Legal business name Sanford Dermatology Pllc
Practice address 1911 K M Wicker Memorial Dr, Sanford, NC, 27330
Fax (919) 718-0092
Enumeration date Jun 11, 2014
Last updated in NPPES Nov 8, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeffrey Queen
Title Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Sanford Dermatology Pllc?
Sanford Dermatology Pllc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-08.