DR. GUSTAVO MENDONCA (NPI# 1982902490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982902490 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO MENDONCA |
| Credential | DDS, MS, PHD |
| Practice Address |
101 Brauer Hall Clb # 7450 Chapel Hill NC 27599-7450 |
| Practice Telephone | 9199661221 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0108 | NC | Dental Providers |
| Street Address |
101 BRAUER HALL CLB # 7450 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528294584 | Derek Duggan | Dentist | 101 Brauer Hall Clb # 7450, Chapel Hill, NC 27599-0001 | 2009-06-04 |
| 1336449974 | Howard Garland Hershey | Dentist | 101 Brauer Hall Clb # 7450, Chapel Hill, NC 27599-7450 | 2010-10-29 |
| 1114155280 | Tung Nguyen | Dentist | 101 Brauer Hall Clb # 7450, Chapel Hill, NC 27599-0001 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1386990505 | Kevin Lim | Dentist | 302 Brauer Hl, Campus Boc 7450, Chapel Hill, NC 27599 | 2012-07-25 |
| 1740598374 | Alexandra B Yarborough | Dentist | Department of Prosthodontics, 338 Brauer Hall, Campus Box #7450, Chapel Hill, NC 27599-7450 | 2010-09-16 |
| 1356363717 | William D. Sulik | Dentist | 920 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-2619 | 2006-07-24 |
| 1316995103 | James E. Parker | Dentist | 106 Brauer Hall Clb # 7450, Chapel Hill, NC 27599-7450 | 2006-05-04 |
| 1356967467 | Leah Anderson | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-06-24 |
| 1174082614 | Jean-pierre Marcel Albouy | Dentist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2019-03-14 |
| 1881052025 | Carolina Vera Resendiz | Dentist | 101 Manning Dr, Campus Box 7450, Chapel Hill, NC 27514-4220 | 2016-02-02 |
| 1023487998 | Hector Saenz De Viteri Tejeda | Dentist | Department of Prosthodontics, Unc School of Dentistry Campus Box #7450, Chapel Hill, NC 27599-7450 | 2015-09-21 |
| 1477933117 | Lauren Haley Katz | Dentist | Unc School of Dentistry, Cb#7450, Chapel Hill, NC 27599-7450 | 2015-06-08 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.