SUREN PARAVYAN, DMD, MD, MSD, PA (NPI# 1679961148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679961148 |
| Entity Type | Organization |
| Organization Name | SUREN PARAVYAN, DMD, MD, MSD, PA |
| Other Organization Name | SANDHILLS ENDODONTICS |
| Practice Address |
201 S. Mcpherson Church Rd. Suite 201 Fayetteville NC 28303 |
| Mailing Address |
201 S. Mcpherson Church Rd. Suite 102 Fayetteville NC 28303 |
| Practice Telephone | 9104853636 |
| Practice Fax Number | 9102229401 |
| Mailing Telephone | 9104853636 |
| Mailing Fax Number | 9102229401 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | SUREN PARAVYAN (PRESIDENT) |
| Authorized Official Telephone | 9104853636 |
| Authorized Official Credential | DMD, MD, MSD, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
6544 | NC | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
9131 | NC | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
8987 | NC | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
6772 | NC | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sandhills Endodontics | Doing Business As Name - Organization |
| Street Address |
201 S. MCPHERSON CHURCH RD. SUITE 201 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266092 | Kerolos Ragaey Helmy Elsayed | Dentist | 2028 Litho Pl, Fayetteville, NC 28304-2537 | 2017-10-23 |
| 1922523091 | Jamey C. Tinnin D.d.s. Endodontics Ltd | Dentist | 1680 E Joyce Blvd, Fayetteville, AR 72703-6214 | 2017-08-09 |
| 1144359480 | John Lloyd Phillips | Dentist | 201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913 | 2007-03-04 |
| 1437296746 | Randall Edward Mckean | Dentist | 112 N Park Dr, Fayetteville, GA 30214-1645 | 2007-01-30 |
| 1003980020 | Bhavik P Shah | Dentist | 1240 Highway 54 W Ste 315, Fayetteville, GA 30214-4572 | 2006-11-20 |
| 1326149618 | East Side Dental Specialists P.C. | Dentist | 7201 E Genesee St, Fayetteville, NY 13066-1262 | 2006-09-26 |
| 1013992932 | William Francis Freccia | Dentist | 1312 Avon St, Fayetteville, NC 28304-4441 | 2005-12-14 |
| 1407372949 | James M. Tinnin, D.d.s., M.s.d, P.a. | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2017-08-16 |
| 1962923268 | Benjamin Lanier Wheeler | Dentist | 1240 Highway 54 W Ste 315, Fayetteville, GA 30214-4572 | 2017-06-28 |
| 1609158153 | Drs. Nathaniel and Katherine Behrents Dds, PC | Dentist | 152 E Appleby Rd, Fayetteville, AR 72703-3903 | 2011-09-11 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on SUREN PARAVYAN, DMD, MD, MSD, 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.