DR. JUSTIN LAEL DRAB (NPI# 1043241755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043241755 |
Entity Type | Individual |
Full Name | DR. JUSTIN LAEL DRAB |
Credential | D.M.D. |
Practice Address |
3824 N Elm St Ste 209 Greensboro NC 27455-2734 |
Practice Telephone | (336) 282-7475 |
Mailing Telephone | (336) 282-7475 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10576 | NC | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4700 Las Vegas Blvd N, Bldg 1300, 99th Ds/sgd, Nellis Afb, NV 891916600 | 7026532600 |
Street Address |
3824 N ELM ST STE 209 |
City | GREENSBORO |
State | NC |
Zip Code | 27455-2734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
Find all providers in zip 27455 |
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 |
---|---|---|---|---|
1780080655 | Robert L Stutts IIi Dmd Paii | Dentist | 200 E Wendover Ave Ste B, Greensboro, NC 27401-1227 | 2014-11-05 |
1801101803 | Scott M Jensen Dmd Pa | Dentist | 920 Cherry St, Greensboro, NC 27401-1422 | 2010-08-13 |
1801917190 | Mohorn, Belcher & Gollehon, Dds. Pa | Dentist | 2105 Braxton Lane, Suite 102, Greensboro, NC 27408 | 2007-04-03 |
1699899823 | Todd Gene Owsley | Dentist | 2516 Oakcrest Avenue, Suite B, Greensboro, NC 27408-1933 | 2007-03-16 |
1952458325 | Christopher L. Durham Dds Pa | Dentist | 6 N Pointe Ct Ste 101, Greensboro, NC 27408-3187 | 2007-01-05 |
1992861686 | David Clay Miller | Dentist | 1031 Founders Row, Greensboro, GA 30642-5260 | 2006-12-28 |
1881770089 | Scott Mckenzie Jensen | Dentist | 920 Cherry Street, Greensboro, NC 27401 | 2006-10-31 |
1952315301 | Dr Scott R Rehm Dds and Dr Robert J Riggs Dds Md Pa | Dentist | 2708 Henry St, Greensboro, NC 27405 | 2006-07-28 |
1952375784 | Steven G Gollehon | Dentist | 301 East Wendover Ave, Suite 111, Greensboro, NC 27401 | 2006-02-16 |
1154681195 | Lake Oconee Oral and Maxillofacial Surgery, P.C. | Dentist | 1031 Founders Row, Greensboro, GA 30642 | 2012-05-24 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 27455 |
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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.