STEVEN R PATTY DDS PA (NPI# 1861534950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861534950 |
| Entity Type | Organization |
| Organization Name | STEVEN R PATTY DDS PA |
| Practice Address |
1851 Wellness Blvd Monroe NC 28110-7774 |
| Practice Telephone | 7042917333 |
| Practice Fax Number | 7042921203 |
| Mailing Telephone | 7042917333 |
| Mailing Fax Number | 7042921203 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-10-01 |
| Authorized Official Name | DR. STEVEN RUSSELL PATTY (PRESIDENT) |
| Authorized Official Telephone | 7042917333 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5322 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | TRIGON BCBS INS | 328400 | 01 |
| NC | 8996674 | 05 | |
| NC | BLUE CROSS BLUE SHIELD NC | 96674 | 01 |
| SC | ZN5322 | 05 | |
| PA | UNITED CONCORDIA INS | 583212 | 01 |
| Street Address |
1851 WELLNESS BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-7774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922020387 | Steven Russell Patty | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2006-07-24 |
| 1295931020 | Tara Anne Valiquette | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2007-06-27 |
| 1265515399 | Kelley Suzanne Lybrand | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2006-10-23 |
| 1740299569 | Erik F Reitter | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497824528 | Ray R. Rhymes Jr. | Dentist | 1812 Tower Dr, Monroe, LA 71201-4938 | 2006-11-06 |
| 1922020387 | Steven Russell Patty | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2006-07-24 |
| 1245287978 | Lawrence W Pompili | Dentist | 876 Stewart Rd, #3, Monroe, MI 48162-5345 | 2006-05-28 |
| 1942297734 | Eric Geist | Dentist | 2003 Forsythe Ave, Monroe, LA 71201-3608 | 2005-10-05 |
| 1851958029 | Premier Oral Surgery and Implantology Center LLC | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2019-05-23 |
| 1629445986 | Western Lake Erie Oms, PC | Dentist | 876 Stewart Rd, #3, Monroe, MI 48162-5345 | 2015-08-21 |
| 1689906349 | Lawrence W Pompili Dds PC | Dentist | 876 Stewart Rd, #3, Monroe, MI 48162-5345 | 2010-02-05 |
| 1295931020 | Tara Anne Valiquette | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2007-06-27 |
| 1265515399 | Kelley Suzanne Lybrand | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2006-10-23 |
| 1740299569 | Erik F Reitter | Dentist | 1851 Wellness Blvd, Monroe, NC 28110-7774 | 2006-08-08 |
| Find all providers in MONROE | ||||
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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.