J MARK OLIVER DDS PA (NPI# 1306933635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306933635 |
| Entity Type | Organization |
| Organization Name | J MARK OLIVER DDS PA |
| Practice Address |
2621 New Walkertown Rd Winston Salem NC 27101 |
| Practice Telephone | 3367245054 |
| Practice Fax Number | 3367245033 |
| Mailing Telephone | 3367245054 |
| Mailing Fax Number | 3367245033 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN MARK OLIVER (PRESIDENT) |
| Authorized Official Telephone | 3367245054 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7312 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | B07192052 | 01 | |
| NC | 8990168 | 05 |
| Street Address |
2621 NEW WALKERTOWN RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043561319 | Fonda Smith Strickland | Dentist | 2621 New Walkertown Rd, Winston Salem, NC 27101-1948 | 2012-09-27 |
| 1598926305 | Melanie Michelle Hairston | Dentist | 2621 New Walkertown Rd, Winston Salem, NC 27101-1948 | 2008-06-24 |
| 1851442073 | John Mark Oliver | Dentist | 2621 New Walkertown Rd, Winston Salem, NC 27101-1948 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| 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 |
|---|---|---|---|---|
| 1619591328 | Catherine B. Laws, D.d.s., P.l.l.c. | Dentist | 1309 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2020-05-29 |
| 1558990457 | Roger Alan Horton | Dentist | 2338 Rosewood Ave, Winston Salem, NC 27103-3639 | 2020-04-03 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1699213959 | Henry Lee Jackson Jr. | Dentist | 334 E Hanes Mill Rd, Winston Salem, NC 27105-9135 | 2017-02-07 |
| 1336692060 | Blake Patrick Nelson | Dentist | 3066 Trenwest Dr, Winston Salem, NC 27103-3208 | 2016-07-29 |
| 1992165963 | Bryana Williams | Dentist | 3210 Silas Creek Pkwy, #4, Winston Salem, NC 27103-3009 | 2016-03-03 |
| 1104203579 | Koelling & Associates Pllc | Dentist | 5069 University Pkwy, 11, Winston Salem, NC 27106-6083 | 2015-05-05 |
| 1225444888 | Peterson & Swartz Dds, Pllc | Dentist | 10479 N. Highway 109, Suite 107 B, Winston Salem, NC 27107-9884 | 2014-07-03 |
| 1487069589 | Meredith Greeson Boyte | Dentist | 3244 Reynolda Road, Winston Salem, NC 27106 | 2014-06-26 |
| 1972920593 | Abrams,cohen,nagel & Associates PC | Dentist | 3768 Creekshire Ct, Winston Salem, NC 27103-1363 | 2014-03-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.