DR. P.L. JEFFRIES AND ASSOCIATES, PA (NPI# 1366682361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366682361 |
| Entity Type | Organization |
| Organization Name | DR. P.L. JEFFRIES AND ASSOCIATES, PA |
| Practice Address |
1307 Dove St Monroe NC 28112-5068 |
| Practice Telephone | 7042829961 |
| Practice Fax Number | 7042829964 |
| Mailing Telephone | 7042829961 |
| Mailing Fax Number | 7042829964 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |
| Authorized Official Name | DR. PERRY LEE JEFFRIES (DDS OWNER) |
| Authorized Official Telephone | 3367042829961 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6832 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900485 | 05 |
| Street Address |
1307 DOVE ST |
| City | MONROE |
| State | NC |
| Zip Code | 28112-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215423819 | Sudha M Edpuganti | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2018-07-06 |
| 1114363975 | Michael John Anthony Magnotta | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2013-05-20 |
| 1952542151 | Deidre Renae Horton | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-18 |
| 1154562528 | Melissa Sharee Jackson | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679898902 | Pspd - Monroe, Pllc | Dentist | 14090 Fryelands Blvd Se Ste 348, Monroe, WA 98272-2760 | 2010-03-30 |
| 1659524478 | Dayna Olstein | Dentist | 1200 State Route 208 Ste 4, Monroe, NY 10950-4649 | 2008-10-23 |
| 1154527018 | Katina Rene Beverly | Dentist | 1203 N 5th St, Monroe, LA 71201-5317 | 2007-06-26 |
| 1578052635 | Marcela Mujica Dmd II Pllc | Dentist | 3007 Wesley Chapel Stouts Rd Ste A, Monroe, NC 28110-7941 | 2018-05-04 |
| 1154562528 | Melissa Sharee Jackson | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-16 |
| 1588675755 | David M Knaus | Dentist | 324 Elm St, Ste 101b, Monroe, CT 06468 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| 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.