JACK T. BRINKLEY, D.M.D., P.A. (NPI# 1033324421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033324421 |
| Entity Type | Organization |
| Organization Name | JACK T. BRINKLEY, D.M.D., P.A. |
| Practice Address |
163 Main Avenue Drive Taylorsville NC 28681 |
| Mailing Address |
1641 Houck Mountain Rd Taylorsville NC 28681-7723 |
| Practice Telephone | 8286324292 |
| Practice Fax Number | 8286324373 |
| Mailing Fax Number | 8286356857 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACK THOMAS BRINKLEY III (PRESIDENT) |
| Authorized Official Telephone | 8286324292 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7412 | NC | Dental Providers |
| Street Address |
163 MAIN AVENUE DRIVE |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| 1326153453 | William Bryant Hackney Jr. | Dentist | 285 Nc Hwy 16 S, Taylorsville, NC 28681 | 2006-08-20 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957635 | Dr Michael J Gordon Dds Pa | Dentist | 311 Nc Highway 16 S, Taylorsville, NC 28681-3050 | 2017-04-21 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1841668100 | Kevin Mangelson | Dentist | 6287 S Redwood Rd Ste 101, Taylorsville, UT 84123-6653 | 2015-09-03 |
| 1437556404 | Modern Dental Professionals - Utah, PC | Dentist | 5419 S Redwood Rd Ste 2, Taylorsville, UT 84123-6957 | 2014-11-19 |
| 1467892992 | Nathan Vassiliades | Dentist | 3484 W Ridgecrest Dr, Taylorsville, UT 84129-3332 | 2013-06-28 |
| 1568765741 | George A. Freer Dds PC | Dentist | 6243 S Redwood Rd Ste 200, Taylorsville, UT 84123-6408 | 2010-12-10 |
| 1386957397 | Brinkley & Associates, Pa | Dentist | 556 Nc Highway 16 S, Taylorsville, NC 28681-9986 | 2010-07-19 |
| 1295995983 | Shawn Mason Hamilton | Dentist | 1638 W 6235 S, Taylorsville, UT 84123-6647 | 2008-06-16 |
| 1205011608 | Dental Professionals of Mississippi, P.C. | Dentist | 411 Willis St, Taylorsville, MS 39168 | 2008-01-03 |
| 1639247356 | Sanford W Hamilton | Dentist | 1638 West 6235 South, Taylorsville, UT 84123 | 2006-12-01 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
Please comment or provide details below to improve the information on JACK T. BRINKLEY, D.M.D., P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.