BRADY J. SEMMEL, DMD, MD, PA (NPI# 1437321296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437321296 |
Entity Type | Organization |
Organization Name | BRADY J. SEMMEL, DMD, MD, PA |
Other Organization Name | SEMMEL ORAL & FACIAL SURGERY |
Practice Address |
1422 Commonwealth Drive Wilmington NC 28403-0302 |
Practice Telephone | 9105091422 |
Practice Fax Number | 9105091421 |
Mailing Telephone | 9105091422 |
Mailing Fax Number | 9105091421 |
Enumeration Date | 2008-04-01 |
Last Update Date | 2011-08-05 |
Authorized Official Name | BRADY JAMES SEMMEL (PRESIDENT) |
Authorized Official Telephone | 9105091422 |
Authorized Official Credential | DMD, MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
200101495 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 131F4 | 01 |
NC | 89131F4 | 05 | |
NC | VOCATIONAL REHABILITATION | 10390209 | 01 |
NC | UCCI | 1406457 | 01 |
NC | GUARDIAN | 145236 | 01 |
NC | 89902FT | 05 |
Other Name | Type Code |
---|---|
Semmel Oral & Facial Surgery | Doing Business As Name - Organization |
Street Address |
1422 COMMONWEALTH DRIVE |
City | WILMINGTON |
State | NC |
Zip Code | 28403-0302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
Find all providers in zip 28403 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689224495 | Graham H. Wilson, Dds, Pa | Dentist | 7971 Market Street, Wilmington, NC 28411-9383 | 2019-09-13 |
1912200031 | John E Hickory | Dentist | 412 Ann St, Wilmington, NC 28401-4662 | 2010-12-11 |
1184941189 | Conrad, Arne', Lombardo, & Krupa, D.d.s, P.a. | Dentist | 7971 Market St, Wilmington, NC 28411-9383 | 2010-04-29 |
1689998304 | Gregg A. Lombardo, D.d.s., P.a. | Dentist | 1510 Medical Center Drive, Wilmington, NC 28401-7506 | 2010-03-24 |
1811174352 | Douglas F. Degroote, Dds | Dentist | 2250 Shipyard Blvd Ste 15, Wilmington, NC 28403-8070 | 2008-01-28 |
1801001516 | David Dieu | Dentist | 1202 Foulk Road, Wilmington, DE 19803 | 2007-05-14 |
1043437825 | Michael Lee Hasson | Dentist | 1221 Floral Pkwy Ste 101, Wilmington, NC 28403-6235 | 2007-04-20 |
1306971882 | Shawn Conrad | Dentist | 1510 Medical Center Dr, Wilmington, NC 28401-7506 | 2007-02-23 |
1770639171 | Michael S. Booth | Dentist | 1305 Physicians Dr., Wilmington, NC 28401-7352 | 2007-01-26 |
1558452177 | Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 1304 N Broom St, Wilmington, DE 19806-4254 | 2006-09-27 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28403 |
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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.