PHILLIP MCIVER DDS PA (NPI# 1568620839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568620839 |
| Entity Type | Organization |
| Organization Name | PHILLIP MCIVER DDS PA |
| Other Organization Name | EASTERN PINES ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
509 Olde Waterford Way Suite 300 Leland NC 28451-4125 |
| Practice Telephone | 9103833004 |
| Practice Fax Number | 9103830121 |
| Mailing Telephone | 9103833004 |
| Mailing Fax Number | 9103830121 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | KRISTIN E HUDSON (CONSULTANT) |
| Authorized Official Telephone | 9107939545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8366 | NC | Dental Providers |
| N | 122300000X | Dentist | 051257 | NY | Dental Providers |
| Y | 122300000X | Dentist | 8366 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5909205 | 05 |
| Other Name | Type Code |
|---|---|
| Eastern Pines Oral & Maxillofacial Surgery | Doing Business As Name - Organization |
| Street Address |
509 OLDE WATERFORD WAY SUITE 300 |
| City | LELAND |
| State | NC |
| Zip Code | 28451-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129412 | Carolina Healthcare Products, Inc | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 107, Leland, NC 28451 | 2006-06-08 |
| 1851835003 | Novant Medical Group, Inc. | Surgery | 509 Olde Waterford Way, Suite 204, Leland, NC 28451-4125 | 2016-12-07 |
| 1083061576 | Emergeortho, Pa | Orthopaedic Surgery | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2016-05-16 |
| 1366815318 | Rizzo Enterprises, Inc. | Chiropractor | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4125 | 2015-11-12 |
| 1255704292 | Pruitthealth Home Health, Inc. | Home Health | 509 Olde Waterford Way, Suite 205, Leland, NC 28451-4125 | 2015-11-12 |
| 1972990877 | The Carter Clinic, Pa | Psychiatry & Neurology | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-04-20 |
| 1275926008 | Sea Hope Education & Wellness Centers Inc | Community/Behavioral Health | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-03-18 |
| 1255724571 | Novant Medical Group Inc | Family Medicine | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 | 2015-03-11 |
| 1003237322 | Autumn Lynn Woods | Physical Therapist | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2014-01-05 |
| 1215271119 | Orthowilmington, Pa | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| 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 |
|---|---|---|---|---|
| 1801232244 | Miller and Associates Four Pllc | Dentist | 1006 Northgate Dr, Leland, NC 28451-6448 | 2013-05-13 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1700924933 | Lisa H Siddall Dds PC | Dentist | 407 S Main, Leland, MI 49634 | 2007-02-01 |
| 1104933316 | James M Huoni Sr. | Dentist | 305 No Broad Street, Leland, MS 38756 | 2006-08-24 |
| 1215040720 | Michelle R Holmes | Dentist | 117h Village Rd Ne, Leland, NC 28451-7413 | 2006-08-17 |
| 1407470578 | Timothy Mckinley | Dentist | 3572 Leland Town Center Dr Ste 140, Leland, NC 28451-0680 | 2020-06-03 |
| 1376918474 | Benjamin Isaiah Friberg | Dentist | 2029 Olde Regent Way, #150, Leland, NC 28451-4195 | 2015-12-01 |
| 1104134899 | Carolina Oms Associates, LLC | Dentist | 1003 Olde Waterford Way Ste 1a, Leland, NC 28451-4168 | 2010-09-16 |
| 1881757011 | Phillip S Mciver | Dentist | 509 Olde Waterford Way, Suite 300, Leland, NC 28451-4171 | 2006-12-19 |
| 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 |
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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.