Debra J. Tetreault, MD

Pediatrics Physician · Smithfield, NC

Individual Active NPI

NPI number 1629036256

Practice location

101 Kellie Dr
Smithfield, NC 27577-9443
Phone
(919) 938-3749
Fax
(919) 938-3795

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NPI record

NPI
1629036256
Entity type
Individual (Type 1)
Enumeration date
May 3, 2006
Last updated
March 3, 2021
Certified
March 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 9801088 NC

About Dr. Tetreault

Debra J. Tetreault, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 101 Kellie Dr, Smithfield, NC 27577-9443. The NPI number 1629036256 was assigned on May 3, 2006 and the record was last updated on March 3, 2021.

Dr. Tetreault lists a license in the registry: #9801088 (NC) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Debra J. Tetreault, MD?

The NPI number is 1629036256.

What is the phone number of Dr. Tetreault?

The phone number listed for the practice location is (919) 938-3749.

Where is Dr. Tetreault located?

101 Kellie Dr, Smithfield, NC 27577-9443.

What is the taxonomy code for Dr. Tetreault?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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