DR. GARY R SUGG (NPI# 1699787333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699787333 |
| Entity Type | Individual |
| Full Name | DR. GARY R SUGG |
| Credential | DDS MS |
| Practice Address |
4525 Park Road Ste B104 Charlotte NC 28209-3723 |
| Practice Telephone | 7045274895 |
| Practice Fax Number | 7045271407 |
| Mailing Telephone | 7045274895 |
| Mailing Fax Number | 7045271407 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
120 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8998197 | 05 | |
| NC | BCBS NC | 98197 | 01 |
| Street Address |
4525 PARK ROAD STE B104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| 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 |
|---|---|---|---|---|
| 1255818944 | Queen City Endodontics | Dentist | 5232 Albemarle Rd Ste C, Charlotte, NC 28212-3644 | 2018-07-25 |
| 1952891921 | Evan Novick Dmd Pa | Dentist | 3535 Randolph Rd Ste 101, Charlotte, NC 28211-1067 | 2018-05-15 |
| 1275770075 | Robert R Haglund Jr. | Dentist | 8927 J M Keynes Dr # 330, Charlotte, NC 28262-8433 | 2009-01-15 |
| 1093919607 | Evan N. Miller, Dds, Pa | Dentist | 130 Providence Rd, Charlotte, NC 28207-1218 | 2007-06-14 |
| 1144421678 | Dr. Alvin S. Goodman, P.a. | Dentist | 3535 Randolph Rd., Suite R-101, Charlotte, NC 28211-1032 | 2007-05-31 |
| 1962558346 | Joe H Camp | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
| 1982705992 | Richard John Pockat | Dentist | 425 South Sharon Amity Road, Suite B, Charlotte, NC 28211-2841 | 2006-09-25 |
| 1528087384 | Ramesh Kumar Sunar | Dentist | 2809 Coltsgate Rd, Suite100, Charlotte, NC 28211-5582 | 2006-07-19 |
| 1063414175 | Luis Antonio Chamorro | Dentist | 11535 Carmel Commons Blvd, Ste 205, Charlotte, NC 28226-5314 | 2005-06-01 |
| 1669907317 | Robert R Haglund Jr Dmd, Mds,ii,pa | Dentist | 8912 Blakeney Professional Dr, Suite 300, Charlotte, NC 28277-6734 | 2017-05-01 |
| Find all providers in CHARLOTTE | ||||
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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.