DR NATHAN GRAVES AND ASSOCIATES PLLC (NPI# 1710477153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710477153 |
| Entity Type | Organization |
| Organization Name | DR NATHAN GRAVES AND ASSOCIATES PLLC |
| Other Organization Name | MYRTLE GROVE IMPLANT AND FAMILY DENTISTRY |
| Practice Address |
5920 Carolina Beach Rd Ste 140 Wilmington NC 28412-3365 |
| Mailing Address |
7617 Clark Hill Rd Wilmington NC 28412-3459 |
| Practice Telephone | 9107420664 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | DR. NATHAN GRAVES (OWNER) |
| Authorized Official Telephone | 9107420664 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10216 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Myrtle Grove Implant and Family Dentistry | Doing Business As Name - Organization |
| Street Address |
5920 CAROLINA BEACH RD STE 140 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447729645 | Dental Diamond LLC | Clinic/Center | 1 Winston Ave, Wilmington, DE 19804-1760 | 2018-11-16 |
| 1306311519 | Concord Dental, LLC | Clinic/Center | 2304 Concord Pike, Wilmington, DE 19803-2912 | 2018-10-04 |
| 1952884454 | Dougherty Dental Solutions | Clinic/Center | 1805 Foulk Rd Ste D, Wilmington, DE 19810-3700 | 2018-09-11 |
| 1093294076 | Jacob R. Long, Dds, Pllc | Clinic/Center | 736 Medical Center Dr Ste 101, Wilmington, NC 28401-4284 | 2018-08-09 |
| 1992192058 | John Cohen D D S Dental Corporation | Clinic/Center | 104 W Anaheim St, Suite C, Wilmington, CA 90744-4488 | 2015-04-16 |
| 1649441098 | A. Gil Pettit IIi, D.d.s., P.a. | Clinic/Center | 9111 Market St, Unit B, Wilmington, NC 28411-7995 | 2008-03-13 |
| 1992822787 | Kenneth J. Yost, Dmd,pa | Clinic/Center | 1407 Foulk Rd, Suite 202, Wilmington, DE 19803-2762 | 2007-03-25 |
| 1356465017 | Dr Virks Dental Practice | Clinic/Center | 221 W Anaheim St, Wilmington, CA 90744 | 2007-03-19 |
| 1114057825 | Dental Health Center of Del-tech | Clinic/Center | 333 N Shipley St, The Dental Health Center, Wilmington, DE 19801-2412 | 2007-03-06 |
| 1083199871 | Happy Sunny Dental, LLC | Clinic/Center | 211 Lowell St Unit K, Wilmington, MA 01887-3014 | 2018-09-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on DR NATHAN GRAVES AND ASSOCIATES PLLC.
| 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.