DR. JOHN MAX CRESTETTO (NPI# 1063597375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063597375 |
| Entity Type | Individual |
| Full Name | DR. JOHN MAX CRESTETTO |
| Credential | DDS,MD |
| Practice Address |
901 N Winstead Ave Suite 130 Rocky Mount NC 27804-8467 |
| Practice Telephone | 2524437331 |
| Practice Fax Number | 2529372381 |
| Mailing Telephone | 2524437331 |
| Mailing Fax Number | 2529372381 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6759 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8990023 | 05 | |
| NC | 0102X | 05 |
| Street Address |
901 N WINSTEAD AVE SUITE 130 |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-8467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628844 | Mark W Anderson | Internal Medicine | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2005-06-10 |
| 1730797002 | Susan Bernadette Skaleski | Dietitian, Registered | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2020-07-22 |
| 1538706841 | Amanda Oney Mcgee | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2019-12-05 |
| 1386200616 | Wendy Richardson Moore | Registered Nurse | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2019-05-13 |
| 1821564709 | Morgan Gray Miller | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2018-10-18 |
| 1235643040 | Megan M Conley | Dietitian, Registered | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2017-12-01 |
| 1366966418 | Ashley Hardee | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2017-07-31 |
| 1477098481 | Courtney Helm | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2016-12-29 |
| 1831648609 | Kristen Middleton | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2016-09-22 |
| 1376902452 | Dana M Pippen | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2016-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| 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 |
|---|---|---|---|---|
| 1770625121 | Drs. Barringer & Crestetto,p.a. | Dentist | 901 N Winstead Ave, Suite 130, Rocky Mount, NC 27804-8467 | 2007-02-13 |
| 1407931710 | William Kennon Barringer | Dentist | 901 N Winstead Ave, Suite 130, Rocky Mount, NC 27804-8467 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224495 | Graham H. Wilson, Dds, Pa | Dentist | 7971 Market Street, Wilmington, NC 28411-9383 | 2019-09-13 |
| 1699263137 | John Breeze | Dentist | Duke University Medical Centre, Durham, NC 27710-0001 | 2018-04-30 |
| 1750823746 | Nazir Ahmad Dds V Pa | Dentist | 2500 Blue Ridge Rd Ste 201, Raleigh, NC 27607-7515 | 2016-11-08 |
| 1447600119 | Jason Michael Goldberg | Dentist | 8815 Christenbury Pkwy Ste 40, Concord, NC 28027-0261 | 2016-06-14 |
| 1760839757 | Nazir Ahmad Dds Iv, Pa | Dentist | 3150 Rogers Rd Ste 111, Wake Forest, NC 27587-4196 | 2016-05-19 |
| 1801262530 | Bradley Paul Storrs | Dentist | 6837 Normandy Rd Bldg B, Attn: Charles Bernatovitz, Fort Bragg, NC 28310-0001 | 2015-08-17 |
| 1003296831 | Jesse Eric Ricciuti | Dentist | 10042 Park Cedar Dr Ste B, Charlotte, NC 28210 | 2015-06-07 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1255737078 | Platte Valley Oral & Maxillofacial Surgery LLC | Dentist | 416 Valley View Drive, Suite 800, Scottsbluff, NC 69361-1420 | 2014-11-05 |
| 1780080655 | Robert L Stutts IIi Dmd Paii | Dentist | 200 E Wendover Ave Ste B, Greensboro, NC 27401-1227 | 2014-11-05 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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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.