GERALD WHISNANT LUTZ (NPI# 1417087214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417087214 |
Entity Type | Individual |
Full Name | GERALD WHISNANT LUTZ |
Credential | DDS |
Practice Address |
4915 Fallston Road Fallston NC 28042-0129 |
Mailing Address |
Box 129 Fallston NC 28042-0129 |
Practice Telephone | 7045389926 |
Mailing Telephone | 7045389926 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3033 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8995415 | 05 |
Street Address |
4915 FALLSTON ROAD |
City | FALLSTON |
State | NC |
Zip Code | 28042-0129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982611943 | Fallston Pharmacy Inc | Pharmacy | 5011 Fallston Rd, Fallston, NC 28042 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528665858 | Wellness Together, LLC | Social Worker | 16 Dade Ct, Fallston, MD 21047-2944 | 2020-10-09 |
1962042952 | Agape Physical Therapy & Sports Rehabilitation Lp | Physical Therapist | 2205 Bel Air Rd Ste B, Fallston, MD 21047-2758 | 2020-01-08 |
1316583750 | Alfred Tetteh | Nurse Practitioner | Choiceone Urgent Care-fallston, 2315 Belair Road Suite C1, Fallston, MD 21047 | 2019-11-20 |
1104470533 | Victoria Lynn Little | Counselor | 1914 Bel Air Rd, Fallston, MD 21047-2724 | 2019-07-24 |
1508323262 | Erin Wetzelberger | Occupational Therapist | 2300 Franklins Chance Ct, Fallston, MD 21047-1324 | 2019-02-28 |
1487118923 | Michaela Paige Siejack | Behavior Technician | 2008 Baldwin Mill Rd, Fallston, MD 21047-1340 | 2019-01-29 |
1447724596 | Susan Vazzana Constantine | Speech-Language Pathologist | 2422 Munford Dr, Fallston, MD 21047-2219 | 2019-01-11 |
1306316260 | Roseann Eileen Miltenberger | Speech-Language Pathologist | 1901 Fallston Rd, Fallston, MD 21047-1418 | 2018-12-04 |
1689143943 | Karen Lee Kittell | Massage Therapist | 1716 Harford Rd Ste 105, Fallston, MD 21047-2699 | 2018-11-16 |
1073007050 | Colleen Curran | Acupuncturist | 216 Mountain Rd, Fallston, MD 21047-2840 | 2018-06-21 |
Find all providers in FALLSTON |
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 |
---|---|---|---|---|
1689883829 | Fabio C. Beltran | Dentist | 1716 Harford Rd Ste 100, Fallston, MD 21047-2699 | 2007-05-22 |
1558482927 | William K Roth Jr. | Dentist | 2404 Pleasantville Rd, Fallston, MD 21047-2099 | 2007-04-03 |
1760425771 | Alan R Scharf | Dentist | 2300 Bel Air Rd, Fallston, MD 21047-2716 | 2006-06-14 |
1699763698 | James Paul Drabo | Dentist | 1810 Bel Air Rd, Fallston, MD 21047-2729 | 2005-10-12 |
1144567900 | Melissa Anna Elliott | Dentist | 1810 Bel Air Rd, Suite 201, Fallston, MD 21047-2729 | 2013-01-13 |
1740576552 | Ed Lazer Dds PC | Dentist | 1810 Bel Air Rd, Suite 201, Fallston, MD 21047-2729 | 2011-06-21 |
1013033505 | Fallston Dental Care | Dentist | 2106 Fallston Rd, Fallston, MD 21047-1442 | 2007-03-22 |
1184786204 | Jenny H Wang | Dentist | 2106 Fallston Rd, Fallston, MD 21047-1442 | 2006-12-14 |
1689735268 | Joseph Serranzana Castro | Dentist | 2106 Fallston Rd, Fallston, MD 21047-1442 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
1205440344 | Sahil Bhardwaj | Dentist | 1432 E Main St, Lincolnton, NC 28092-3902 | 2020-09-05 |
1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
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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.