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Annie Sudarmo Alman

Dentist, General Practice in Fort Bragg, NC. Individual provider (NPI-1).

NPI number1407566805
StatusActive
Last updated in NPPESMar 2, 2026

Details

NPI
1407566805
Entity type
Individual (NPI-1)
Name
Annie Sudarmo Alman
Sex
Female
Sole proprietor
No
Enumeration date
Nov 28, 2022
Certification date
Mar 2, 2026
Last updated
Mar 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN27440FLYes
122300000X DentistDN27440FL

Practice location

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001

Phone 910-907-8922 · Fax 910-907-6069

Mailing address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001

Phone 910-907-8922 · Fax 910-908-6069

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