LINER, WARD & SHOBE DDS, PA (NPI# 1497162895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497162895 |
| Entity Type | Organization |
| Organization Name | LINER, WARD & SHOBE DDS, PA |
| Other Organization Name | SOUTHERN DENTAL ASSOCIATES |
| Practice Address |
135 Medical Dr Advance NC 27006-6684 |
| Mailing Address |
6570 Shallowford Rd Lewisville NC 27023-8651 |
| Practice Telephone | 3369985437 |
| Mailing Telephone | 3369455555 |
| Mailing Fax Number | 3369450125 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | DACIA EILERT-HOLCOMB (OFFICE MANAGER) |
| Authorized Official Telephone | 3369455555 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINER, WARD & SHOBE DDS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7664 | NC | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
6839 | NC | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
6654 | NC | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9621 | NC | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8815 | NC | Dental Providers |
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Southern Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760719843 | Liner, Ward & Shobe Dds, Pa | Dentist | 6570 Shallowford Rd, Lewisville, NC 27023-8651 | 2009-11-10 |
| 1053442210 | Liner, Ward & Shobe Dds, Pa | Dentist | 1690 River St, Wilkesboro, NC 28697-7630 | 2007-03-08 |
| Street Address |
135 MEDICAL DR |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-6684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922062165 | Bryan Eugene Brandon | Physical Therapist | 135 Medical Dr, Suite 101, Advance, NC 27006-6651 | 2006-04-14 |
| 1720245467 | Jason Thomas Moore | Dentist | 135 Medical Dr, Suite 201, Advance, NC 27006-6651 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
| Find all providers in zip 27006 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700308038 | Amy Li | Dentist | 149 Yadkin Valley Rd Ste 101, Advance, NC 27006-8782 | 2017-07-07 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1720245467 | Jason Thomas Moore | Dentist | 135 Medical Dr, Suite 201, Advance, NC 27006-6651 | 2008-05-20 |
| 1346443603 | Thomas S. Browder Dds | Dentist | 5380 Us Highway 158, Suite 200, Advance, NC 27006-6907 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1487265039 | John Michael Mckelvey Jr. | Dentist | 6238 Ardennes St, Fort Bragg, NC 28310-0001 | 2020-08-16 |
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| 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.