LINER, WARD & SHOBE DDS, PA (NPI# 1053442210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053442210 |
| Entity Type | Organization |
| Organization Name | LINER, WARD & SHOBE DDS, PA |
| Other Organization Name | SOUTHERN DENTAL ASSOCIATES |
| Practice Address |
1690 River St Wilkesboro NC 28697-7630 |
| Practice Telephone | 3368389400 |
| Practice Fax Number | 3368381872 |
| Mailing Telephone | 3368389400 |
| Mailing Fax Number | 3368381872 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | DACIA K EILERT-HOLCOMB (OFFICE MANAGER) |
| Authorized Official Telephone | 3369455555 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINER, WARD & SHOBE DDS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
========= | NC | Dental Providers |
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Southern Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760719843 | Liner, Ward & Shobe Dds, Pa | Dentist | 6570 Shallowford Rd, Lewisville, NC 27023-8651 | 2009-11-10 |
| 1497162895 | Liner, Ward & Shobe Dds, Pa | Dentist | 135 Medical Dr, Advance, NC 27006-6684 | 2014-07-17 |
| Street Address |
1690 RIVER ST |
| City | WILKESBORO |
| State | NC |
| Zip Code | 28697-7630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750464046 | Jonathan Dale Liner | Dentist | 1690 River St, Wilkesboro, NC 28697-7630 | 2006-10-23 |
| 1033600945 | Kenneth Shane Wingler | Dentist | 1690 River St, Wilkesboro, NC 28697-7630 | 2018-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346679206 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 330 Darnell Lane, Wilkesboro, NC 28697 | 2013-11-01 |
| 1639456676 | Strategic Interventions | Community/Behavioral Health | 176 Rest Home Road, Wilkesboro, NC 28697 | 2011-11-04 |
| 1063703247 | Tessa Walter | Physical Therapist | 371 Old Farms Road, Wilkesboro, NC 28697 | 2011-04-22 |
| 1922242742 | Pradip Thakkar, Md | Family Medicine | 1600 Curtis Bridge Road, Wilkesboro, NC 28697 | 2009-04-23 |
| 1366656746 | Khot Medical Clinic | Family Medicine | 1216 D School St, Wilkesboro, NC 28697 | 2007-05-09 |
| 1295868644 | Amy K. Gardner | Marriage & Family Therapist | 507 Courthouse Drive, Wilkesboro, NC 28697 | 2007-03-14 |
| 1457405854 | Appalachian Counseling | Counselor | 100 North Bridge St, Suite 101, Wilkesboro, NC 28697 | 2007-01-22 |
| 1194893818 | Thomas K Mcmahan Md Pa | Internal Medicine | 1710 Parkwood Drive, Wilkesboro, NC 28697 | 2006-12-01 |
| 1952480246 | Walter Clyde Holloway | Chiropractor | 1240 School Street, Wilkesboro, NC 28697 | 2006-11-06 |
| 1609958750 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 1801 Us Hwy 421, Wilkesboro, NC 28697 | 2006-10-19 |
| Find all providers in zip 28697 | ||||
| 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 |
|---|---|---|---|---|
| 1447288816 | Stephen J Wessels | Dentist | 1509 River St, Wilkesboro, NC 28697-7391 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1487265039 | John Michael Mckelvey Jr. | Dentist | 6238 Ardennes St, Fort Bragg, NC 28310-0001 | 2020-08-16 |
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | WILKESBORO |
| Zip Code | 28697 |
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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.