ANDERSON AND SLACK PA (NPI# 1508976440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508976440 |
| Entity Type | Organization |
| Organization Name | ANDERSON AND SLACK PA |
| Practice Address |
200 Doctors Drive Suite F Jacksonville NC 28546 |
| Practice Telephone | 9103534242 |
| Practice Fax Number | 9105776421 |
| Mailing Telephone | 9103534242 |
| Mailing Fax Number | 9105776421 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WAYNE CLARK ANDERSON (DDS) |
| Authorized Official Telephone | 9103534242 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2996 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DELTA | 2996 | 01 |
| NC | BCBS | 02211 | 01 |
| NC | 8990244 | 05 |
| Street Address |
200 DOCTORS DRIVE SUITE F |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043276629 | W.r.turlington Md Pa | Family Medicine | 200 Doctors Drive, Suite M, Jacksonville, NC 28546 | 2006-04-24 |
| 1689947871 | Sherman & Miller, Pa | Dentist | 200 Doctors Drive, Suite G, Jacksonville, NC 28546 | 2012-02-17 |
| 1588718969 | Onslow Urology Clinic | Urology | 200 Doctors Drive, Suite C, Jacksonville, NC 28546-6308 | 2007-01-22 |
| 1437201324 | Henry M Best IIi | Dentist | 200 Doctors Drive, Suite N, Jacksonville, NC 28546 | 2007-01-18 |
| 1487751905 | Dana S Scheetz | Dentist | 200 Doctors Drive, Suite F, Jacksonville, NC 28546 | 2006-09-19 |
| 1659481059 | Wayne Clark Anderson | Dentist | 200 Doctors Drive, Suite F, Jacksonville, NC 28546 | 2006-08-30 |
| 1710097811 | Rhonda H Norris | Dentist | 200 Doctors Drive, Ste F, Jacksonville, NC 28546 | 2006-08-30 |
| 1629188735 | Joseph M Hewitt | Dentist | 200 Doctors Drive, Ste F, Jacksonville, NC 28546 | 2006-08-30 |
| 1265542369 | Keith A Harris | Dentist | 200 Doctors Drive, Ste F, Jacksonville, NC 28546 | 2006-08-30 |
| 1467469106 | Robert Lee Sherman | Dentist | 200 Doctors Drive, Ste B, Jacksonville, NC 28546 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1962018424 | Sydney Fowler | Dentist | 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 | 2020-09-21 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1659923118 | San Jose Aspen Pllc | Dentist | 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 | 2019-07-15 |
| 1326603176 | Evens Family Dental | Dentist | 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 | 2019-05-07 |
| 1487123006 | Susan Prater Kudlats, D.m.d, P.a. | Dentist | 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 | 2018-11-14 |
| 1043792534 | Atlantic Dentistry Pa | Dentist | 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 | 2018-08-31 |
| 1447738620 | Argyle Dental Pllc | Dentist | 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 | 2018-07-31 |
| 1427534445 | Sandeep Chunduru | Dentist | 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 | 2018-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on ANDERSON AND SLACK PA.
| 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.