SCOTT M. VINES, DDS, PLLC (NPI# 1477668143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477668143 |
| Entity Type | Organization |
| Organization Name | SCOTT M. VINES, DDS, PLLC |
| Practice Address |
1123 S Main St Reidsville NC 27320-5340 |
| Mailing Address |
1123 S Main St Reidsville NC 27320-5313 |
| Practice Telephone | 3363421581 |
| Practice Fax Number | 3363497350 |
| Mailing Telephone | 3363421581 |
| Mailing Fax Number | 3363497350 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | DR. SCOTT MICHAEL VINES (DENTIST/OWNER) |
| Authorized Official Telephone | 3363421581 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6612 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 899007X | 05 |
| Street Address |
1123 S MAIN ST |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935039 | Nsumanganyi Cesar Kalombo | Nurse Practitioner | 1123 S Main St, Reidsville, NC 27320-5339 | 2019-01-08 |
| 1457866451 | Tenika Chique Mccorkle | Nurse Practitioner | 1123 S Main St, Ste C, Reidsville, NC 27320-5340 | 2017-12-13 |
| 1609246925 | James Kim Md PC | Internal Medicine | 1123 S Main St, Reidsville, NC 27320-5339 | 2015-09-29 |
| 1194124362 | In-house Doc, Inc | Long Term Care Hospital | 1123 S Main St, Reidsville, NC 27320-5339 | 2014-08-13 |
| 1659520377 | Scott Michael Vines | Dentist | 1123 S Main St, Reidsville, NC 27320-5313 | 2008-09-18 |
| 1710038955 | Cynthia Ann Bolton | Dentist | 1123 S Main St, Reidsville, NC 27320-5340 | 2007-01-15 |
| 1548341209 | Angus G. Mcinnis | Family Medicine | 1123 S Main St, Reidsville, NC 27320-5340 | 2006-10-18 |
| 1558476218 | Tiffany Louise Roberson | Dentist | 1123 S Main St, Reidsville, NC 27320-5340 | 2006-08-20 |
| 1891716064 | Angus G. Mcinnis | Family Medicine | 1123 S Main St, Reidsville, NC 27320-5340 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1275632366 | Lafayette Judkins Dds Pa | Dentist | 207 Turner Dr, Reidsville, NC 27320-5726 | 2006-09-22 |
| 1265456164 | Jeff Wayne Johnson | Dentist | 1212 Freeway Dr, Reidsville, NC 27320-7170 | 2006-07-26 |
| 1831117183 | James J Baker | Dentist | 1106 S Park Dr, Reidsville, NC 27320-5514 | 2006-07-17 |
| 1568492171 | Paul Robert Barrett | Dentist | 1410 Front St, Reidsville, NC 27320-6000 | 2006-07-03 |
| 1275561987 | Robert Lewis Wheless | Dentist | 1400 Front St, Reidsville, NC 27320-6000 | 2006-06-29 |
| 1134565286 | Georgi P Petrov | Dentist | 1212 Freeway Dr, Reidsville, NC 27320-7170 | 2013-05-16 |
| 1225300270 | William Alexander Ross II | Dentist | 1212 Freeway Dr, Reidsville, NC 27320-7170 | 2012-02-07 |
| 1568699395 | Laura Beth Hodges | Dentist | 1109 S Park Dr, Reidsville, NC 27320-5513 | 2009-06-19 |
| 1659520377 | Scott Michael Vines | Dentist | 1123 S Main St, Reidsville, NC 27320-5313 | 2008-09-18 |
| 1790953776 | Dr. Jeff Wayne Johnson Dds | Dentist | 1212 Freeway Dr, Reidsville, NC 27320-7170 | 2008-02-13 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on SCOTT M. VINES, DDS, PLLC.
| 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.