DR. PHILIP W SHOEMAKER (NPI# 1073725727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073725727 |
| Entity Type | Individual |
| Full Name | DR. PHILIP W SHOEMAKER |
| Credential | DDS |
| Practice Address |
6817 Falls of Neuse Rd Suite 101 Raleigh NC 27615-5386 |
| Mailing Address |
825 Ascot Ln Raleigh NC 27615-1901 |
| Practice Telephone | 9198489871 |
| Mailing Telephone | 9198477378 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5107 | NC | Dental Providers |
| Street Address |
6817 FALLS OF NEUSE RD SUITE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-5386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952337685 | Mark Franklin Kozacko | Dentist | 6817 Falls of Neuse Rd, Suite 101, Raleigh, NC 27615-5386 | 2006-06-24 |
| 1114103066 | Mark Kozacko Dds Pa | Dentist | 6817 Falls of Neuse Rd, Suite 101, Raleigh, NC 27615-5386 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| 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 |
|---|---|---|---|---|
| 1750823746 | Nazir Ahmad Dds V Pa | Dentist | 2500 Blue Ridge Rd Ste 201, Raleigh, NC 27607-7515 | 2016-11-08 |
| 1134482482 | Matthew Robert Holman | Dentist | 5904 Six Forks Rd # 101, Raleigh, NC 27609-3838 | 2012-06-21 |
| 1720399017 | Eric Deubler Hoverstad | Dentist | 3809 Computer Dr Ste 101, Raleigh, NC 27609-6518 | 2010-07-01 |
| 1710132030 | Phillip S. Mciver Dds Pa | Dentist | 7920 Acc Blvd., Ste. 130, Raleigh, NC 27617-8744 | 2008-12-01 |
| 1700967171 | Amandip Kamoh | Dentist | 8305 Falls of Neuse Rd Ste 105, Raleigh, NC 27615-3546 | 2006-10-18 |
| 1003836321 | John Sunghoon Won | Dentist | 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 | 2006-07-20 |
| 1609809292 | Anthony Russell Immediata | Dentist | 7101 Creedmoor Rd, Suite 109, Raleigh, NC 27613-1682 | 2006-07-08 |
| 1952337685 | Mark Franklin Kozacko | Dentist | 6817 Falls of Neuse Rd, Suite 101, Raleigh, NC 27615-5386 | 2006-06-24 |
| 1326099458 | Kenneth J. Benson | Dentist | 7401 Creedmoor Rd, Raleigh, NC 27613-1640 | 2006-05-13 |
| 1194298828 | John S Won Md Pa | Dentist | 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 | 2019-01-04 |
| Find all providers in RALEIGH | ||||
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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.