RALEIGH DENTAL CLINIC (NPI# 1679660492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679660492 |
| Entity Type | Organization |
| Organization Name | RALEIGH DENTAL CLINIC |
| Practice Address |
207 Sylvarena Ave Raleigh MS 39153 |
| Mailing Address |
Po Box 595 Raleigh MS 39153-0595 |
| Practice Telephone | 6017829206 |
| Mailing Telephone | 6017829206 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BOBBY D MADDOX (DENTIST/OWNER) |
| Authorized Official Telephone | 6017829206 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1219-66 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015677 | 05 |
| Street Address |
207 SYLVARENA AVE |
| City | RALEIGH |
| State | MS |
| Zip Code | 39153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780936740 | Heather Celeste Burt Jordan | Occupational Therapist | 309 Magnolia Road, Rolling Acres Retirement, Raleigh, MS 39153 | 2012-10-15 |
| 1831484609 | Lane Napier Baxter | Dentist | 226 Highway 18 West, Raleigh, MS 39153 | 2011-06-09 |
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
| 1386705705 | Phil Thompson | Family Medicine | 342 Magnolia Drive, Raleigh, MS 39153 | 2006-12-12 |
| 1962599696 | Bobby D Maddox | Dentist | 207 Sylvarena Ave., Raleigh, MS 39153 | 2006-10-06 |
| 1538278734 | Larry Franklin Gibson | Family Medicine | 202 Sylvarena Ave., Raleigh, MS 39153 | 2006-08-30 |
| 1285967653 | Guardian Angel Healthcare Inc., II | Psychiatric Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2009-09-16 |
| 1588853154 | Family Health Care Clinic, Inc. | Clinic/Center | 226 Whiteoak Ave, Raleigh, MS 39153 | 2007-10-19 |
| 1811181407 | Guardian Angel Healthcare Inc., II | General Acute Care Hospital | 347 Magnolia Dr, Raleigh, MS 39153 | 2007-08-28 |
| Find all providers in zip 39153 | ||||
| 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 |
|---|---|---|---|---|
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1447869375 | Liji Joseph | Dentist | 1600 Cross Link Rd Ste 103-104, Raleigh, NC 27610-1089 | 2020-07-27 |
| 1215545884 | Sara Saleh | Dentist | 4555 Sugarbend Way, Raleigh, NC 27606-4544 | 2020-07-20 |
| 1255951067 | Alterman Dhillon and Associates | Dentist | 4203 Corners Pkwy Ste 100, Raleigh, NC 27617-4311 | 2020-04-22 |
| 1750931994 | W. Christopher Claypoole, Dds, Pa | Dentist | 7980 Arco Corporate Dr Ste 102, Raleigh, NC 27617-2072 | 2019-09-19 |
| 1770136129 | Abdul Rahim Zalal | Dentist | 5700 Bramblewood Dr, Raleigh, NC 27612-2290 | 2019-07-24 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1053882514 | Daiana Atari Dmd Pllc | Dentist | 5816 Creedmoor Rd Ste 105, Raleigh, NC 27612-2310 | 2018-12-10 |
| 1770079113 | Claudel Pilon Giggey | Dentist | 8015 Creedmoor Rd Ste 202, Raleigh, NC 27613-4397 | 2018-07-09 |
| Find all providers in RALEIGH | ||||
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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.