MOAMEN E SHEBA (NPI# 1104344241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104344241 |
| Entity Type | Individual |
| Full Name | MOAMEN E SHEBA |
| Credential | BDS, MS |
| Practice Address |
1851 Macgregor Downs Rd Greenville NC 27834-5925 |
| Practice Telephone | 2527377000 |
| Mailing Telephone | 2527377000 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0220 | NC | Dental Providers |
| Street Address |
1851 MACGREGOR DOWNS RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117252 | Bobby Mcmanus Collins II | Dentist | 1851 Macgregor Downs Rd, East Carolina University School of Dental Medicine, Greenville, NC 27834-5925 | 2005-10-12 |
| 1790393833 | Kristal Amalia Tucker | Dentist | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-07-15 |
| 1598381428 | Ashley Cole | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1407472335 | Mirna Azer Rezkalla | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1144845041 | Natalie Kirkman | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1093330995 | Megan Millon | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1902421803 | Melissa Marie Mertely | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1184249096 | Vinh Quang Dang | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1730704651 | Nadia Ali Ata | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1487279386 | Brittany Taylor Hewett | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1558799916 | Mahmoud Serag | Dentist | 2712 W Arlington Blvd Apt 206, Greenville, NC 27834-4115 | 2013-10-23 |
| 1639437163 | Keith A Mays | Dentist | Lakeside Annex 7, Ms 701, East Carolina University School of Dentistry, Greenville, NC 27834 | 2012-05-03 |
| 1457554974 | Stephen Patrick Schoen | Dentist | 10 Enterprise Boulevard, Suite 103, Greenville, SC 29615 | 2007-06-11 |
| 1932329182 | John A Crumpton Dmd Pa | Dentist | 36 Roper Corners Circle, Greenville, SC 29615 | 2007-04-30 |
| 1841365095 | Upstate Prosthodontics, L.L.C. | Dentist | 321 Mills Ave, Greenville, SC 29605-4021 | 2006-11-22 |
| 1184975484 | Donald L Ridgell | Dentist | 321 Mills Ave, Greenville, SC 29605-4021 | 2012-09-26 |
| 1215180716 | John Anthony Crumpton Sr. | Dentist | 36 Roper Corners Circle, Greenville, SC 29615 | 2008-10-28 |
| 1548270747 | Michael James Smith | Dentist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994703 | Ryan Alexander Matthews | Dentist | 140 Mahaley Ave Ste A, Salisbury, NC 28144-2449 | 2017-07-11 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1174933519 | Anthony Gragg | Dentist | 7201 Creedmoor Rd Ste 120, Raleigh, NC 27613-8000 | 2014-05-07 |
| 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 |
| 1821328865 | Benjamin E. Thompson | Dentist | 2904 Maplewood Ave, Winston Salem, NC 27103-4010 | 2010-01-13 |
| 1447427760 | Lisa N Powell | Dentist | 150 Preston Executive Drive, Suite 204, Cary, NC 27513 | 2008-05-15 |
| 1750551297 | John A Murrell | Dentist | 2605 Blue Ridge Rd Ste 310, Raleigh, NC 27607-6475 | 2008-03-11 |
| 1063682136 | Robert M Poteat Dds Ms Pa | Dentist | 1061 Bullard Court, Raleigh, NC 27615 | 2008-03-05 |
| 1477723583 | William D Gates | Dentist | 3622 Shannon Rd, Suite 101, Durham, NC 27707-3771 | 2008-03-04 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.