EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE (NPI# 1073069555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073069555 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Other Organization Name | ECU SCHOOL OF DENTAL MEDICINE |
| Practice Address |
316 County Services Park Sylva NC 28779-5713 |
| Mailing Address |
1851 Macgregor Downs Rd Greenville NC 27834-5925 |
| Practice Telephone | 8285861200 |
| Practice Fax Number | 8285860047 |
| Mailing Telephone | 2527377000 |
| Mailing Fax Number | 2527377049 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | DR. DEXTER GREGORY CHADWICK (DEAN, SCHOOL OF DENTAL MEDICINE) |
| Authorized Official Telephone | 2527377401 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 151098 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5920268 | 05 |
| Other Name | Type Code |
|---|---|
| ECU School of Dental Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497001127 | East Carolina University School of Dental Medicine | Clinic/Center | 1161 N Road Street, Elizabeth City, NC 27909 | 2012-07-31 |
| 1669750014 | East Carolina University School of Dental Medicine | Dentist | Ecu School of Dental Medicine, 1851 Macgregor Downs Rd, Greenville, NC 27834-4354 | 2011-08-02 |
| 1790212462 | East Carolina University School of Dental Medicine | Dentist | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2017-05-12 |
| 1942633482 | East Carolina University School of Dental Medicine | Dentist | 80 Autumn Fern Trail, Lillington, NC 27546 | 2013-08-20 |
| 1275806762 | East Carolina University School of Dental Medicine | Clinic/Center | 100 Health Center Drive, Ahoskie, NC 27910 | 2012-02-15 |
| Street Address |
316 COUNTY SERVICES PARK |
| City | SYLVA |
| State | NC |
| Zip Code | 28779-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335184 | Michael Ellis Garvin | Dentist | 316 County Services Park, Sylva, NC 28779-5713 | 2005-12-06 |
| 1114542024 | Gorden L Hucal | Student in an Organized Health Care Education/Training Program | 316 County Services Park, Sylva, NC 28779-5713 | 2020-06-16 |
| 1437675048 | Kyle Trevor Malstrom | Dentist | 316 County Services Park, Sylva, NC 28779-5713 | 2017-08-15 |
| 1982028759 | East Carolina University | Dentist | 316 County Services Park, Ecu School of Dental Medicine, Sylva, NC 28779 | 2014-02-13 |
| 1326140823 | Robert Keith Manga | Dentist | 316 County Services Park, Sylva, NC 28779 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
| Find all providers in zip 28779 | ||||
| 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 |
|---|---|---|---|---|
| 1437675048 | Kyle Trevor Malstrom | Dentist | 316 County Services Park, Sylva, NC 28779-5713 | 2017-08-15 |
| 1174942106 | Timothy S. Spilliards, Dmd, Pa | Dentist | 230 Poplar Dr, Sylva, NC 28779-5229 | 2014-04-07 |
| 1982028759 | East Carolina University | Dentist | 316 County Services Park, Ecu School of Dental Medicine, Sylva, NC 28779 | 2014-02-13 |
| 1780971267 | Laurin Joyce Cardwell | Dentist | 876 E Main St, Sylva, NC 28779-5803 | 2011-07-05 |
| 1053521104 | David Samuel Mcguire | Dentist | 45 King St, Sylva, NC 28779-3011 | 2007-05-23 |
| 1497872949 | Robert J Davis | Dentist | 538 Scotts Creek Rd, Suite 100, Sylva, NC 28779-5677 | 2007-03-22 |
| 1659413748 | Elizabeth Marie Ferguson | Dentist | 538 Scotts Creek Rd, Suite 100, Sylva, NC 28779-5677 | 2007-02-13 |
| 1326140823 | Robert Keith Manga | Dentist | 316 County Services Park, Sylva, NC 28779 | 2006-09-04 |
| 1275646572 | Hillar Roman Kollist | Dentist | 876 E Main St, Sylva, NC 28779-5803 | 2006-08-17 |
| 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 | ||||
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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.