PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI# 1801939699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801939699 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Other Organization Name | CHARLES W. CONNOR, JR., DDS, MS |
| Practice Address |
1146 N New Hope Rd Gastonia NC 28054-2959 |
| Practice Telephone | 7048656425 |
| Mailing Telephone | 7048656425 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. CHARLES W CONNOR JR. (DENTIST) |
| Authorized Official Telephone | 7048656425 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4623 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8991768 | 05 |
| Other Name | Type Code |
|---|---|
| Charles W. Connor, Jr., DDS, MS | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC DENTISTRY AND ORTHODONTICS OF THE NORTH SHORE, LLC | 6 State Rd., Danvers, MA 02193 |
| Virginia Business Entities | Pediatric Dentistry and Orthodontics of Virginia P.C. | 13841 Hull Street Road, Ste 4, Midlothian, Virginia 23112 |
| Connecticut Business Registrations | Pediatric Dentistry and Orthodontics, Pllc | One Lake Street, New Britain, CT 06052 |
| Street Address |
1146 N NEW HOPE RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191960 | Charles William Connor Jr. | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2006-07-07 |
| 1700936069 | Rebecca Burack Gross | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191960 | Charles William Connor Jr. | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2006-07-07 |
| 1679004584 | Laetitia I. Sery, Dds, Pllc | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2017-03-22 |
| 1972920676 | Jessica Simon | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2014-03-20 |
| 1922438977 | Rdest Dds Pllc II | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2013-11-12 |
| 1457637621 | White Smiles | Dentist | 3044 E Franklin Blvd, Suite 4, Gastonia, NC 28056-5400 | 2011-11-01 |
| 1982835831 | Jonathan R Kaczmarski | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-07-27 |
| 1922240969 | Ashley Blacktree | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-04-06 |
| 1700936069 | Rebecca Burack Gross | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-01-11 |
| 1255337150 | Kelly Rachelle Zukaitis | Dentist | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
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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.