WILLARDEAN CARROLL JORDANDULA (NPI# 1396308268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396308268 |
Entity Type | Individual |
Full Name | WILLARDEAN CARROLL JORDANDULA |
Credential | DDS |
Practice Address |
3200 Cumberland Rd Winston Salem NC 27105-3303 |
Practice Telephone | 3367441323 |
Mailing Telephone | 3367441323 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2020-01-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 6298 | NC | Dental Providers |
Street Address |
3200 CUMBERLAND RD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27105-3303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
Find all providers in zip 27105 |
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 |
---|---|---|---|---|
1548824907 | Hyung Won Lee | Dentist | 4550 Country Club Rd, Winston Salem, NC 27104-3518 | 2019-04-30 |
1003307703 | Lisa R. Gaither Dmd P.a. | Dentist | 1027 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-05-29 |
1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
1659727535 | Barry Devon Price | Dentist | 755 Highland Oaks Dr Ste 106, Winston Salem, NC 27103-7106 | 2016-05-10 |
1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
1982009114 | William R. Warren Dds, Pa | Dentist | 2606 New Walkertown Rd., Winston Salem, NC 27101 | 2014-10-30 |
1447679956 | Andrew C Geer, Dds Pllc | Dentist | 3244 Reynolda Rd, Winston Salem, NC 27106-3040 | 2014-04-11 |
1588080469 | Kimberly Pinyan | Dentist | 4712 Country Club Rd Ste C, Winston Salem, NC 27104-3749 | 2014-03-14 |
1053752055 | Katelyn Joyce Henderson | Dentist | 1480 Rymco Dr Ste A, Winston Salem, NC 27103-3072 | 2013-07-08 |
1770852691 | Leslie Kutina Lundquist | Dentist | 3125 Allerton Lake Dr, Winston Salem, NC 27106-4481 | 2011-12-21 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27105 |
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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.