EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE-BRUNSWICK (NPI# 1427452283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427452283 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE-BRUNSWICK |
| Other Organization Name | ECU SCHOOL OF DENTAL MEDICINE |
| Practice Address |
100 Brunswick Medical Center Parkway Bolivia NC 28422 |
| Practice Telephone | 2527377035 |
| Mailing Telephone | 2527377035 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | MR. ALVA JULIUS MORRIS (ASST CLINICAL ACCOUNTANT) |
| Authorized Official Telephone | 2527377035 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST CAROLINA UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| ECU School of Dental Medicine | Other Name - Individual/Organization |
| Street Address |
100 BRUNSWICK MEDICAL CENTER PARKWAY |
| City | BOLIVIA |
| State | NC |
| Zip Code | 28422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
| 1033730866 | Tamika Jocinda Yushaw | Social Worker | 25 Courthouse Drive Ne, Bolivia, NC 28422 | 2020-05-04 |
| 1821648882 | Daniel Burk | Physician Assistant | 584 Hospital Drive Suite A, Bolivia, NC 28422 | 2019-09-12 |
| 1689080632 | Cecilia Liu | Dentist | 3071 Southport Supply Rd Se, Bolivia, NC 28422 | 2014-07-09 |
| 1922372341 | Lorie L Harding | Physician Assistant | 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 | 2012-03-02 |
| 1902095383 | Cayce Mccall Patterson | Physical Therapist | 35 Referendum Dr, Brunswick County Schools, Bolivia, NC 28422 | 2007-10-22 |
| 1235288622 | Susan Beth Kam | Psychologist | 63 Stamp Act Drive, Bolivia, NC 28422 | 2007-01-09 |
| 1578632477 | Sarah E Oxford | Case Manager/Care Coordinator | 63 Stamp Act Dr, Building M, Bolivia, NC 28422 | 2006-11-06 |
| 1811089915 | Scott Thomas | Physical Medicine & Rehabilitation | 20 Medical Campus Drive, Suite 204 Brunswick Medical Campus, Supply, NC 28422 | 2006-09-28 |
| Find all providers in zip 28422 | ||||
| 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 |
|---|---|---|---|---|
| 1912122573 | Gretchen Gigi Gorman-lyden | Dentist | 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001 | 2007-04-16 |
| 1457872368 | Andrei Hatara | Dentist | 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001 | 2017-06-30 |
| 1255782611 | Astin Victoria Barnes | Dentist | 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001 | 2016-06-28 |
| 1932550449 | Sarah Howell Kinsley | Dentist | 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001 | 2016-06-27 |
| 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 | ||||
Please comment or provide details below to improve the information on EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE-BRUNSWICK.
| 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.