EDWARD G. BURNETT JR. D.D.S.,P.A. (NPI# 1740447465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740447465 |
Entity Type | Organization |
Organization Name | EDWARD G. BURNETT JR. D.D.S.,P.A. |
Practice Address |
1900 S Hawthorne Rd Ste 552 Winston Salem NC 27103-3913 |
Practice Telephone | 3367604304 |
Practice Fax Number | 3367650124 |
Mailing Telephone | 3367604304 |
Mailing Fax Number | 3367650124 |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |
Authorized Official Name | DR. EDWARD GUEST BURNETT JR. (PRESIDENT) |
Authorized Official Telephone | 3367604304 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3900 | NC | Ambulatory Health Care Facilities |
Street Address |
1900 S HAWTHORNE RD STE 552 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-3913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760483689 | Thomas Paul Mutton | Specialist | 1900 S Hawthorne Rd, Suite 480, Winston Salem, NC 27103-3913 | 2005-08-02 |
1730564691 | Mary Lomberk | Pharmacist | 1900 S Hawthorne Rd, Suite 504, Winston Salem, NC 27103-3913 | 2015-07-21 |
1861870198 | Janelle Fitzjohn | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2015-05-06 |
1447672639 | Jennifer Bailiff | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2014-01-08 |
1669806477 | Alice Christine Smith | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2013-08-28 |
1376976043 | Novant Medical Group Inc | Surgery | 1900 S Hawthorne Rd, Suite 480, Winston Salem, NC 27103-3913 | 2013-08-16 |
1902195761 | Community Care Center | Voluntary or Charitable | 1900 S Hawthorne Rd, Suite 564, Winston Salem, NC 27103-3913 | 2011-04-01 |
1033418710 | Delip Vikram Patel | Radiology | 1900 S Hawthorne Rd, Winston Salem, NC 27103-3913 | 2011-03-21 |
1720228158 | Novant Medical Group Inc | Internal Medicine | 1900 S Hawthorne Rd, Suite 652, Winston Salem, NC 27103-3901 | 2009-02-25 |
1881841856 | Cutaneous Pathology, P.a. | Pathology | 1900 S Hawthorne Rd, Suite 366, Winston Salem, NC 27103-3913 | 2008-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114491529 | Kyle Taylor, Dds IIi, Pllc | Clinic/Center | 3015 Maplewood Ave Ste 100, Winston Salem, NC 27103-4075 | 2019-01-18 |
1114294527 | Sarah C. Shoaf, Dds, Med, Ms, PC | Clinic/Center | 1063 W Northwest Blvd, Winston Salem, NC 27101-1104 | 2011-11-30 |
1801053475 | Roger N Reynolds 111 Dds Ms Pa | Clinic/Center | 3809 Forrestgate Dr, Suite A, Winston Salem, NC 27103-2982 | 2008-05-20 |
1518132109 | Robert M. Wilkinson, Jr., D.d.s., P.a. | Clinic/Center | 1086 Whitaker Rd, Winston Salem, NC 27106-4823 | 2008-04-24 |
1902884943 | Dr Matthew K Keider Dds Pa | Clinic/Center | 3610 Westgate Center Cir, Winston Salem, NC 27103-2935 | 2006-01-09 |
1841806387 | Samuel Bartlett Dds, Pllc | Clinic/Center | 3309 Healy Dr Ste B, Winston Salem, NC 27103-1474 | 2020-09-21 |
1184241622 | Jeffrey C. Zackeru, Dmd, Pllc | Clinic/Center | 481 Shepherd St, Winston Salem, NC 27103-1627 | 2020-07-01 |
1669097903 | Drs J Loveland and R Walker II, Pllc | Clinic/Center | 4622 Country Club Rd, Winston Salem, NC 27104-3769 | 2020-06-12 |
1437795465 | Wake Forest University Health Sciences | Clinic/Center | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-11-25 |
1285120816 | United Health Centers | Clinic/Center | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127-3726 | 2018-07-06 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.