SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC (NPI# 1932634029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932634029 |
| Entity Type | Organization |
| Organization Name | SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC |
| Practice Address |
2620 New Bern Ave Raleigh NC 27610-1821 |
| Mailing Address |
9650 Strickland Rd Suite 103-177 Raleigh NC 27615-1902 |
| Practice Telephone | 9192256899 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | DR. UDAY N REEBYE (OWNER) |
| Authorized Official Telephone | 9199324425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
812162341 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555020 | Surgical Center for Dental Professionals of Nc LLC | Nurse Anesthetist, Certified Registered | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2019-02-23 |
| Street Address |
2620 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578646675 | Shelly Lynne Rickert | Dentist | 2620 New Bern Ave, New Bern Ridge Dental Center, Raleigh, NC 27610-1821 | 2006-10-23 |
| 1821555020 | Surgical Center for Dental Professionals of Nc LLC | Nurse Anesthetist, Certified Registered | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2019-02-23 |
| 1184069387 | Brooke Findley | Dietitian, Registered | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2013-05-02 |
| 1811296957 | Wake Health Services, Inc. | Physician Assistant | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2011-03-15 |
| 1881912939 | Richard Stephen Neubauer IIi | Dietitian, Registered | 2620 New Bern Ave, Raleigh, NC 27610 | 2010-05-13 |
| 1528209749 | Horizon Health Center | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2009-03-18 |
| 1073754289 | Rock Quarry Rd Family Medicine | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2009-03-18 |
| 1316156359 | Radha Chandana Guddati | Pediatrics | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2007-05-22 |
| 1306974985 | Brandy Lenet Peaker | Family Medicine | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2007-03-02 |
| 1487704912 | Elizabeth Bradley Cleland-roberts | Pediatrics | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396089108 | Triangle Orthopaedics Surgery Center | Clinic/Center | 7921 Acc Blvd, Raleigh, NC 27617 | 2012-11-16 |
| 1518162445 | Southern Eye Associates, Pa | Clinic/Center | 2801 Blue Ridge Rd Ste 200, Raleigh, NC 27607-6474 | 2007-06-20 |
| 1073578019 | Blue Ridge Day Surgery Center, Lp | Clinic/Center | 2308 Wesvill Ct, Raleigh, NC 27607-2949 | 2006-04-20 |
| 1275199978 | Rac Surgery Center LLC | Clinic/Center | 3031 New Bern Ave, Raleigh, NC 27610-2988 | 2019-05-17 |
| 1013425933 | Rex Surgery Center of Wakefield, LLC | Clinic/Center | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2018-01-12 |
| 1184987737 | Orthopaedic Surgery Center of Raleigh LLC | Clinic/Center | 3001 Edwards Mill Rd, Raleigh, NC 27612 | 2012-06-19 |
| 1972874907 | Capital City Surgery Center, LLC | Clinic/Center | 23 Sunnybrook Rd, Suite 100, Raleigh, NC 27610-1855 | 2012-01-23 |
| 1376814368 | Stelor, LLC | Clinic/Center | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2012-01-23 |
| 1497084982 | Wake Endoscopy Center, LLC | Clinic/Center | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2009-12-14 |
| 1083790679 | National Women's Health Organization of Raleigh, Inc | Clinic/Center | 3613 Haworth Dr, Raleigh, NC 27609-7218 | 2006-10-27 |
| Find all providers in RALEIGH | ||||
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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.