DR. CLIFTON WADE PERNELL (NPI# 1174566376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174566376 |
| Entity Type | Individual |
| Full Name | DR. CLIFTON WADE PERNELL |
| Practice Address |
430 West 20th Street Newton NC 28658 |
| Practice Telephone | 8284646220 |
| Practice Fax Number | 8284646232 |
| Mailing Telephone | 8284646220 |
| Mailing Fax Number | 8284646232 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5042 | NC | Dental Providers |
| Street Address |
430 WEST 20TH STREET |
| City | NEWTON |
| State | NC |
| Zip Code | 28658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265519359 | Jason R Sain Dds Pa | Dentist | 430 West 20th Street, Newton, NC 28658 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427024 | Healthstat Onsite Clinic Mccreary Modern Plant 4 | Preventive Medicine | 3483 Saint James Church Road, Newton, NC 28658 | 2020-04-29 |
| 1578977179 | Endeavors Pediatric Therapy Services, LLC | Occupational Therapist | Mt Olive Church Rd, Newton, NC 28658 | 2014-06-12 |
| 1033428289 | Homefirst Healthcare Services, LLC | Home Infusion | 805 W. 25th Street, Newton, NC 28658 | 2010-10-05 |
| 1184959330 | The Mental Health Fund Inc | Community Based Residential Treatment Facility, Mental Illness | 120b West D Street, Newton, NC 28658 | 2009-10-06 |
| 1003957531 | Lynn Isenhower Mullinax | Counselor | 22 South Main Avenue, Newton, NC 28658 | 2007-02-09 |
| 1588723852 | Frank Alan Younce | Occupational Therapist | 1897 Wellington Ave, Newton, NC 28658 | 2006-12-06 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1093777120 | Pendleton Glass Waldron | Dentist | 430 West 20th St, Newton, NC 28658 | 2006-04-04 |
| 1336144377 | Elizabeth M Owens | Physician Assistant | 3975 Robinson Rd, Newton, NC 28658 | 2005-06-16 |
| 1669476404 | Julie Lail Peltzer | Speech-Language Pathologist | 1457 O'brian Drive, Newton, NC 28658 | 2005-06-09 |
| Find all providers in zip 28658 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935078 | Newton Corner Dental Care, Pllc | Dentist | 313 Washington St Ste 102, Newton, MA 02458-1626 | 2019-07-25 |
| 1255893244 | Baig Smiles Pllc | Dentist | 558 Commonwealth Ave, Newton, MA 02459-1634 | 2019-04-01 |
| 1275062424 | Nicole Margaret Ford | Dentist | 93 Union St Ste 308, Newton, MA 02459-2241 | 2017-06-09 |
| 1336678358 | Taylor Whitney Parent | Dentist | 1400 Centre St Ste 201, Newton, MA 02459-2579 | 2017-06-05 |
| 1689003063 | Vast Dental LLC | Dentist | 433 Watertown St, Newton, MA 02458-1113 | 2013-11-05 |
| 1699939504 | Margarita Yoshpe | Dentist | 41 Whittemore Rd, Newton, MA 02458-2105 | 2008-07-10 |
| 1548459886 | Stephen B Chafkin | Dentist | 281 Needham St, Newton, MA 02464-1574 | 2007-10-23 |
| 1881819522 | Associated Dentists, P.C. | Dentist | 600 E 17th St S, Suite A, Newton, IA 50208-4094 | 2007-04-16 |
| 1902929961 | Mount Ida College | Dentist | 777 Dedham St, Newton, MA 02459-3323 | 2007-04-06 |
| 1922120559 | Lonnie Dean Barton | Dentist | 727 W 11th St S, Newton, IA 50208 | 2007-04-04 |
| Find all providers in NEWTON | ||||
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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.