JOHN WALSH DDS PA (NPI# 1366717530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366717530 |
| Entity Type | Organization |
| Organization Name | JOHN WALSH DDS PA |
| Other Organization Name | DENTISTRY OF THE CAROLINAS |
| Practice Address |
101 Sleepy Dr Suite 102 Spring Lake NC 28390-3317 |
| Mailing Address |
5821 Fairview Rd Suite 220 Charlotte NC 28209-5601 |
| Practice Telephone | 9104972969 |
| Practice Fax Number | 9104976505 |
| Mailing Telephone | 7045221550 |
| Mailing Fax Number | 7045221558 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | MRS. JESSICA JOHNSTON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 7045221550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4305 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentistry of the Carolinas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1538410873 | John Walsh Dds Pa | Dentist | 8401 Medical Plaza Dr, Ste 100, Charlotte, NC 28262-8797 | 2012-09-26 |
| 1780935452 | John Walsh Dds Pa | Dentist | 1711 Montford Dr, Charlotte, NC 28209-3721 | 2012-09-21 |
| 1396049714 | John Walsh Dds Pa | Dentist | 1711 Montford Dr, Charlotte, NC 28209-3721 | 2010-12-28 |
| 1346476801 | John Walsh Dds Pa | Dentist | 6708 Albermarle Rd, Charlotte, NC 28212-3856 | 2009-06-10 |
| 1629257845 | John Walsh Dds Pa | Dentist | 2258 W Roosevelt Blvd, Suite A, Monroe, NC 28110-3089 | 2007-10-25 |
| 1801091640 | John Walsh Dds Pa | Dentist | 5970 Fairview Rd, Ste 120, Charlotte, NC 28210-3167 | 2007-06-20 |
| 1528260767 | John Walsh Dds Pa | Dentist | 730 Brookdale Dr, Statesville, NC 28677-3406 | 2007-06-01 |
| 1285761338 | John Walsh Dds Pa | Dentist | 2641 Court Dr, Gastonia, NC 28054-1478 | 2007-02-27 |
| Street Address |
101 SLEEPY DR SUITE 102 |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386080208 | Magi Youssef | Dentist | 101 Sleepy Dr, #102, Spring Lake, NC 28390-3317 | 2013-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760804934 | Matthew Homsi | Dentist | 1913 Greve Ave, Apt F, Spring Lake, NJ 07762-2354 | 2014-01-07 |
| 1487773040 | Jeffrey C. Linfante | Dentist | 2022 State Route 71 Ste 102, Spring Lake, NJ 07762-2291 | 2007-03-28 |
| 1841349388 | Kavita Saggi Ghai | Dentist | 6720 Overhills Road, Spring Lake, NC 28390 | 2007-01-10 |
| 1710076880 | Andrew Holland Nyboer | Dentist | 102 S Buchanan St, North Suite, Spring Lake, MI 49456-2090 | 2006-10-12 |
| 1932176716 | Maura E Conniff | Dentist | 1109 3rd Ave, Spring Lake, NJ 07762-1328 | 2006-03-01 |
| 1780226837 | Edward J Dooley Dmd A Professional Corporation | Dentist | 1109 3rd Ave, Spring Lake, NJ 07762-1328 | 2019-10-10 |
| 1306332838 | Mariya Vinogradov Harn | Dentist | 620 Lillington Hwy, Spring Lake, NC 28390-2269 | 2018-07-09 |
| 1235553009 | Anne L Gomez | Dentist | 1913 Greve Ave, Apt F, Spring Lake, NJ 07762-2354 | 2014-02-13 |
| 1346419322 | James C Kirk, Dds/pa | Dentist | 203 S Main St, Spring Lake, NC 28390-3902 | 2008-02-25 |
| 1275749574 | John E. Garrison | Dentist | 110 Dewitt Ln, Spring Lake, MI 49456-1921 | 2007-05-15 |
| Find all providers in SPRING LAKE | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
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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.