CHERRYVILLE DENTAL CLINIC (NPI# 1386828614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386828614 |
| Entity Type | Organization |
| Organization Name | CHERRYVILLE DENTAL CLINIC |
| Practice Address |
106 N Mountain St Cherryville NC 28021-2941 |
| Mailing Address |
1015 E Church St Cherryville NC 28021-2916 |
| Practice Telephone | 7044356916 |
| Practice Fax Number | 7044356811 |
| Mailing Telephone | 7044356916 |
| Mailing Fax Number | 7044356811 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | DR. PAUL HUNTER CLONINGER (OWNER) |
| Authorized Official Telephone | 7044356916 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7118 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 899013A | 05 |
| Street Address |
106 N MOUNTAIN ST |
| City | CHERRYVILLE |
| State | NC |
| Zip Code | 28021-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676475 | Jenna Elizabeth Lindsey | Dentist | 106 N Mountain St, Cherryville, NC 28021-2941 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699333021 | Stephanie Carlile Elam | Clinic/Center | Carolina Care Health and Rehab, 111 Harrilson Road, Cherryville, NC 28021 | 2019-05-31 |
| 1164978201 | Jessica Albright Robinson | Social Worker | 136 Old Fallston Rd, Cherryville, NC 28021 | 2016-08-29 |
| 1346661576 | Lesa Parker | Physical Therapy Assistant | 111 Harrilson Road, Cherryville, NC 28021 | 2013-12-13 |
| 1932374154 | Leslie Rene Erwin | Physical Therapy Assistant | 111harrilson Road, Cherryville, NC 28021 | 2008-04-29 |
| 1568666519 | Vellessia Annette Church | Physical Therapy Assistant | 111 Harrelson Rd, Cherryville, NC 28021 | 2007-06-13 |
| 1942231535 | Medical Center Pharmacy of Cherryville Inc | Pharmacy | 607 E Academy St, Cherryville, NC 28021 | 2006-07-05 |
| 1346608114 | Home Town Direct Care | Family Medicine | 301 E. Main Street, Cherryville, NC 28021 | 2016-02-08 |
| 1770808198 | Gaston Family Health Services, Inc. | Clinic/Center | 112 S Oak St, Cherryville, NC 28021 | 2010-03-29 |
| 1487782447 | Carol Elizabeth Browne | Counselor | 407a Jane St, Cherryville, NC 28021-2611 | 2007-03-01 |
| 1487624425 | Eyebridge Consulting Associates Odpa | Optometrist | 201 W Church St, Cherryville, NC 28021-2805 | 2006-01-24 |
| Find all providers in zip 28021 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676475 | Jenna Elizabeth Lindsey | Dentist | 106 N Mountain St, Cherryville, NC 28021-2941 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1487265039 | John Michael Mckelvey Jr. | Dentist | 6238 Ardennes St, Fort Bragg, NC 28310-0001 | 2020-08-16 |
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | CHERRYVILLE |
| Zip Code | 28021 |
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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.