DR. SHIMA GHATTAN (NPI# 1073136453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073136453 |
| Entity Type | Individual |
| Full Name | DR. SHIMA GHATTAN |
| Credential | DMD |
| Practice Address |
510 Nicholas Rd Greensboro NC 27409-3399 |
| Mailing Address |
3522 Camden Falls Cir Greensboro NC 27410-1600 |
| Practice Telephone | 3363879168 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11911 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3522 Camden Falls Cir, Greensboro, NC 274101600 | 3364040024 |
| Street Address |
510 NICHOLAS RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104218007 | Koelling & Associates Pllc | Dentist | 510 Nicholas Rd, F, Greensboro, NC 27409-3399 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| Find all providers in zip 27409 | ||||
| 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 |
|---|---|---|---|---|
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1013432889 | Dominick Joseph Grillo | Dentist | 2733 Horse Pen Creek Rd Ste 107, Greensboro, NC 27410-8538 | 2017-08-13 |
| 1821544172 | Justin Mckinlay | Dentist | 3501 Associate Dr, Greensboro, NC 27405-3879 | 2016-08-28 |
| 1629483425 | Bhavna T Pahel | Dentist | 510 Hickory Ridge Dr, Greensboro, NC 27409-9779 | 2014-07-01 |
| 1457671786 | Chavala Melita Harris | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2010-06-09 |
| 1801028436 | Eric Van Lilly | Dentist | 1108 Country Club Dr, Greensboro, NC 27408-6318 | 2009-08-16 |
| 1477783728 | Thomas J Bagley | Dentist | 2729 Horse Pen Creek Rd, Suite 103, Greensboro, NC 27410-8395 | 2009-07-21 |
| 1952551889 | Michael Lee Collins | Dentist | 5304 Guida Drive, Greensboro, NC 27410 | 2008-09-29 |
| 1376713149 | Homer Clark Bell IIi | Dentist | 1601 West Cornwallis Drive, Greensboro, NC 27408 | 2008-03-07 |
| 1760663074 | Ryan Charles Kraska | Dentist | 502 N Elam Ave, Greensboro, NC 27403-1127 | 2007-11-15 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27409 |
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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.