DR. ELLEN DIANE NORDGREN (NPI# 1942437033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942437033 |
| Entity Type | Individual |
| Full Name | DR. ELLEN DIANE NORDGREN |
| Credential | DDS |
| Practice Address |
2720 Graves Dr Goldsboro NC 27534-4512 |
| Mailing Address |
314 Pickens Dr N Goldsboro NC 27530-9097 |
| Practice Telephone | 9197780098 |
| Mailing Telephone | 5073636157 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9263 | NC | Dental Providers |
| N | 122300000X | Dentist | D12705 | MN | Dental Providers |
| Street Address |
2720 GRAVES DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881054039 | Munira Baldiwala | Dentist | 2720 Graves Dr, Goldsboro, NC 27534-4512 | 2016-03-01 |
| 1386928083 | Kyle J Roth IIi Dds Pa | Dentist | 2720 Graves Dr, Goldsboro, NC 27534-4512 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710394762 | Miller and Associates Six Pllc | Dentist | 808 N Berkeley Blvd Ste A, Goldsboro, NC 27534-3429 | 2014-07-22 |
| 1104241405 | Kevin Buchholtz I | Dentist | 3000 Wayne Memorial Dr, Goldsboro, NC 27534-8212 | 2014-02-23 |
| 1497924724 | Dr Plummer Alston Daniel Jr Dds | Dentist | 2300 Wayne Memorial Drive, Suite D, Goldsboro, NC 27534-1747 | 2008-02-20 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1164558664 | Hv Murray IIi Dds Pa | Dentist | 1108 A Parkway Drive, Goldsboro, NC 27534 | 2007-02-26 |
| 1962425181 | William B Long Dds Pa | Dentist | 308 N Taylor St, Goldsboro, NC 27530-4022 | 2006-07-26 |
| 1861465346 | Plummer Alston Daniel Jr. | Dentist | 2300 Wayne Memorial Dr, Suite D, Goldsboro, NC 27534-1726 | 2006-02-07 |
| 1699771055 | Wyanet Robinson | Dentist | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2005-06-21 |
| 1902468176 | Eden Nethercutt Manning | Dentist | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2019-07-08 |
| 1366000481 | Ifeoma Clementina Oguejiofor | Dentist | 1504 Wayne Memorial Dr, Goldsboro, NC 27534-2237 | 2019-06-04 |
| Find all providers in GOLDSBORO | ||||
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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.