MOUNTAIN PERIO (NPI# 1134339385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134339385 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN PERIO |
| Practice Address |
200 Beverly Hanks Ctr Suite B Hendersonville NC 28792-2301 |
| Practice Telephone | 8286937533 |
| Practice Fax Number | 8286935494 |
| Mailing Telephone | 8286937533 |
| Mailing Fax Number | 8286935494 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | ANDREW ROBERT HARRELL (OWNER) |
| Authorized Official Telephone | 8286937533 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4809 | NC | Dental Providers |
| Street Address |
200 BEVERLY HANKS CTR SUITE B |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28792-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537280 | Gregory L Denton | Dentist | 200 Beverly Hanks Ctr, Suite A, Hendersonville, NC 28792-2301 | 2006-07-10 |
| 1780888511 | Gregory L Denton Dds Pa | Dentist | 200 Beverly Hanks Ctr, Suite A, Hendersonville, NC 28792-2301 | 2007-06-14 |
| 1104967041 | Glenn J. Shefter | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-02-12 |
| 1417098351 | Greg S. Fertik | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690187 | Mark Levi | Chiropractor | 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 | 2018-05-23 |
| 1427548080 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 635 Greenville Hwy, Hendersonville, NC 28792 | 2018-05-18 |
| 1649721911 | Sara R Ross | Social Worker | 48 Reedy Ridge Road, Hendersonville, NC 28792 | 2016-10-20 |
| 1669856530 | Andrew Harrell | Dentist | 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 | 2015-07-10 |
| 1114329539 | Pardee Urgent Care | Clinic/Center | 212 Thompson Street, Hendersonville, NC 28792 | 2014-09-17 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1790035343 | Healthstat- Henderson County | Preventive Medicine | 211 1st Ave E., Hendersonville, NC 28792 | 2012-09-11 |
| 1578811188 | John Edward Kneedler | Physical Therapist | 600 Carolina Village Road, Hendersonville, NC 28792 | 2012-08-29 |
| 1962702845 | Rainbow Tree | In Home Supportive Care | 332 Signal Hill Road, Henderson, NC 28792 | 2010-10-26 |
| 1750600698 | Julie Ann Innes | Pharmacist | 3643 Howard Gap Road, Hendersonville, NC 28792 | 2010-05-17 |
| Find all providers in zip 28792 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164547139 | Jean-max Jean-pierre | Dentist | 100 Springhouse Ct., Suite 220, Hendersonville, TN 37075 | 2007-03-20 |
| 1295896710 | Jim Mann Bevans IIi | Dentist | 394 W Main St, Suite 3, Hendersonville, TN 37075-3348 | 2006-12-12 |
| 1689213902 | Periodontal & Implant Associates of Middle Tennessee, Pllc | Dentist | 100 Springhouse Court, Ste. 220, Hendersonville, TN 37075-1610 | 2020-01-03 |
| 1659668226 | Periodontal Care Center, Pllc | Dentist | 100 Springhouse Ct, Suite 220, Hendersonville, TN 37075-1609 | 2011-07-05 |
| 1104967041 | Glenn J. Shefter | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-02-12 |
| 1417098351 | Greg S. Fertik | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623113 | Yoon Chi | Dentist | 385 S Columbia St Suite 123 Brauer Hall, Chapel Hill, NC 27599-7450 | 2020-09-15 |
| 1962044560 | Riccobene & Associates Xxxvi, Dds, P.a. | Dentist | 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 | 2019-10-15 |
| 1255985016 | Farahnaz Fahimipour | Dentist | 123 Brauer Hall Department of Periodontology, Chapel Hill, NC 27599-0001 | 2019-07-30 |
| 1982257838 | Amanda Finger Stadler | Dentist | Unc Adams School of Dentistry Brauer 140, Chapel Hill, NC 27599-0001 | 2019-07-19 |
| 1528542073 | Sing Wai Wong | Dentist | 140 Dental Cir Chapel Hill Brauer Hall Room 123, Chapel Hill, NC 27599-7450 | 2018-09-20 |
| 1174030415 | Craig Dorion Dds Mph Pa IIi | Dentist | 2310 Myron Dr Ste 100, Raleigh, NC 27607-3358 | 2018-01-09 |
| 1952824807 | Vishal Gohel | Dentist | Department of Periodontology Unc School Of, Chapel Hill, NC 27599-0001 | 2017-07-24 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1568853943 | Mais Sweidan | Dentist | 123 Brauer Hl, Campus Box 7450, Chapel Hill, NC 27599-0001 | 2015-02-06 |
| 1316353956 | Elizabeth Campbell | Dentist | 150 Providence Rd Ste 200, Chapel Hill, NC 27514-2208 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 28792 |
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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.