| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386620201 | MIKALOFF | RONALD | WARREN | 2300 RAMSEY ST | FAYETTEVILLE | NC | 283013856 | |
| 1881820843 | ROACH | BRYAN | PATRICK | ADVANCED EDUCATION IN GENERAL DENTISTRY PROGRAM | FAYETTEVILLE | NC | 283013856 |