ANTONIO S. BRAITHWAITE DDS MPH PA (NPI# 1255627915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255627915 |
| Entity Type | Organization |
| Organization Name | ANTONIO S. BRAITHWAITE DDS MPH PA |
| Other Organization Name | SANFORD PEDIATRIC DENTISTRY |
| Practice Address |
136 Carbonton Rd Sanford NC 27330-4000 |
| Practice Telephone | 9197185561 |
| Practice Fax Number | 9197185562 |
| Mailing Telephone | 9197185561 |
| Mailing Fax Number | 9197185562 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | DR. ANTONIO STANLEY BRAITHWAITE (OWNER/ PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9192601154 |
| Authorized Official Credential | DDS, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sanford Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
136 CARBONTON RD |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790845295 | Vc Associates Inc | Community/Behavioral Health | 136 Carbonton Rd, Sanford, NC 27330-4009 | 2006-12-12 |
| 1518251693 | Brandon Knockum | Dentist | 136 Carbonton Rd, Sanford, NC 27330-4000 | 2011-06-06 |
| 1912220641 | Vca Day Treatment | Community/Behavioral Health | 136 Carbonton Rd, Suite B, Sanford, NC 27330-4000 | 2010-03-09 |
| 1750508669 | John Joseph Connors | Counselor | 136 Carbonton Rd, Sanford, NC 27330-4000 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1518251693 | Brandon Knockum | Dentist | 136 Carbonton Rd, Sanford, NC 27330-4000 | 2011-06-06 |
| 1326363094 | Brooks Dunston Dds Pllc | Dentist | 55 Amarillo Lane, Buffalo Lake Business Park, Sanford, NC 27332 | 2010-04-06 |
| 1437345691 | Children's Dentistry of Sanford, LLP | Dentist | 955 Main St, Sanford, ME 04073-3574 | 2007-09-21 |
| 1740352335 | Mark Stephen Lucier | Dentist | 955 Main St, Sanford, ME 04073-3574 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
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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.