DR. SHAWN NICHOLAS WOLFF (NPI# 1932397924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932397924 |
| Entity Type | Individual |
| Full Name | DR. SHAWN NICHOLAS WOLFF |
| Other Name | DR. SHAWN NICHOLAS WOLFE |
| Credential | DDS |
| Practice Address |
1424a Fern Creek Dr Statesville NC 28625-9376 |
| Practice Telephone | 7047494141 |
| Practice Fax Number | 7048711505 |
| Mailing Telephone | 7047494141 |
| Mailing Fax Number | 7048711545 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8456 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5908307 | 05 |
| Street Address |
1424A FERN CREEK DR |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-9376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710418496 | Prashant Rupapara & Associates Pllc | Dentist | 1424a Fern Creek Dr, Statesville, NC 28625-9376 | 2017-03-23 |
| 1669922316 | Titus Brinager | Dentist | 1424a Fern Creek Dr, Statesville, NC 28625-9376 | 2016-10-06 |
| 1184075848 | Prashant Patel | Dentist | 1424a Fern Creek Dr, Statesville, NC 28625 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1689924367 | Timothy Crouch | Dentist | 511 Brookdale Dr, Statesville, NC 28677-4107 | 2012-09-11 |
| 1609007475 | Amanda Brown Kotis | Dentist | 1207 Davie Ave, Statesville, NC 28677-3511 | 2009-07-28 |
| 1538330295 | John P Mcginty Dds | Dentist | 120 S Tradd Street, Statesville, NC 28677-5863 | 2008-03-20 |
| 1124216817 | Dan E Carroll | Dentist | 1712 Davie Ave, Statesville, NC 28677-3522 | 2007-10-09 |
| 1477767655 | Thomas Allison Morris | Dentist | 2515 W Front St, Statesville, NC 28677-2999 | 2007-05-09 |
| 1437374964 | Thomas Raymond O'leary | Dentist | 701 Hartness Rd, Statesville, NC 28677-3424 | 2007-04-17 |
| 1538384888 | James E. Hunter Jr. | Dentist | 734 Bryant St, Statesville, NC 28677-4143 | 2007-04-13 |
| 1164508743 | Keith Allen Crouch | Dentist | 511 Brookdale Drive, Statesville, NC 28677-4107 | 2006-10-27 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.