NORTH CAROLINA CENTER FOR ORAL & MAXILLOFACIAL SURGERY (NPI# 1043413867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043413867 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CENTER FOR ORAL & MAXILLOFACIAL SURGERY |
| Other Organization Name | CENTRAL DURHAM ORAL &MAXILLOFACIAL SURGERY |
| Practice Address |
415 -b Dunstan Durham NC 27707-2321 |
| Mailing Address |
7606 Morrell Ln Durham NC 27713-6665 |
| Practice Telephone | 9196824667 |
| Mailing Telephone | 9195445789 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SPENCER BRIAN HOWARD (PRESIDENT) |
| Authorized Official Telephone | 9193062252 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7381 | NC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7614 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| CENTRAL DURHAM ORAL &MAXILLOFACIAL SURGERY | Doing Business As Name - Organization |
| Street Address |
415 -B DUNSTAN |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263137 | John Breeze | Dentist | Duke University Medical Centre, Durham, NC 27710-0001 | 2018-04-30 |
| 1376691584 | David M. Lambert, Dds, Pa | Dentist | 5015 Southpark Dr Ste 120, Durham, NC 27713-7736 | 2007-01-07 |
| 1881761583 | The Center for Functional & Aesthetic Facial Surgery | Dentist | 5501 Fortunes Ridge Dr, Suite G, Durham, NC 27713-6102 | 2006-11-29 |
| 1306920467 | Marthaann Keels | Dentist | 2711 N Duke St Ste A, Durham, NC 27704-2619 | 2006-10-25 |
| 1174568174 | David E Sheinkopf | Dentist | 127 Gadwall Ln, Durham, NC 27703-8377 | 2006-06-17 |
| 1356349591 | Oral & Maxillofacial Surgery Associates Pa | Dentist | 2823 N Duke St, Durham, NC 27704-2621 | 2005-07-12 |
| 1457356057 | Alexander Youngwhan Kim | Dentist | 5318 Nc Highway 55 Ste 106, Durham, NC 27713-9660 | 2005-06-20 |
| 1154724169 | Nicholas Mueller | Dentist | 5318 Nc Highway 55 Ste 106, Durham, NC 27713 | 2014-10-03 |
| 1801173034 | Spencer B. Howard D.d.s | Dentist | 2003 E Nc Highway 54, Durham, NC 27713-2482 | 2011-11-16 |
| 1639450869 | Uday N Reebye, Md, Dmd Pa | Dentist | 5318 Nc Highway 55, Suite 106, Durham, NC 27713 | 2011-09-01 |
| Find all providers in DURHAM | ||||
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| 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.