DR. KATRINA CHAUNDANI MATTISON (NPI# 1457411167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457411167 |
| Entity Type | Individual |
| Full Name | DR. KATRINA CHAUNDANI MATTISON |
| Credential | D.D.S. |
| Practice Address |
322 Main St Prospect Hill NC 27314-9438 |
| Mailing Address |
415 Tighfield Drive Mebane NC 27302 |
| Practice Telephone | 3365623123 |
| Mailing Telephone | 9195631453 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
8099 | NC | Dental Providers |
| Street Address |
322 MAIN ST |
| City | PROSPECT HILL |
| State | NC |
| Zip Code | 27314-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137081 | Paige Lauren Hunter Fricke | Physician Assistant | 322 Main St, Prospect Hill, NC 27314-9438 | 2016-07-11 |
| 1497187595 | Piedmont Health Services, Inc. | Clinic/Center | 322 Main St, Prospect Hill, NC 27314-9438 | 2013-07-31 |
| 1114363132 | Jessica Susan Waters Davis | Family Medicine | 322 Main St, Prospect Hill, NC 27314-9438 | 2013-05-16 |
| 1336409648 | Kelly Draughn Clayton | Pharmacist | 322 Main St, Prospect Hill, NC 27314 | 2012-05-21 |
| 1699982983 | Sean Angela Williams Meltzer | Dentist | 322 Main St, Prospect Hill, NC 27314-9438 | 2007-05-17 |
| 1154425890 | Piedmont Health Services, Inc | Clinic/Center | 322 Main St, Prospect Hill, NC 27314-9438 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060571 | Audrey Kemp | Dentist | 322 Main Street, Prospect Hill, NC 27314 | 2007-02-15 |
| 1801977277 | Linda Bongiorno Brown | Nurse Practitioner | 140 Main St., Prospect Hill, NC 27314 | 2006-10-18 |
| 1104185347 | Caroline Collins Roberts | Family Medicine | 322 Main Street, Prospect Hill, NC 27314 | 2012-05-09 |
| 1346478526 | Jodi M Roque | Family Medicine | 322 Main Street, Piedmont Health Services, Prospect Hill, NC 27314 | 2009-06-26 |
| 1699926642 | Elizabeth Ann Burch | Social Worker | 140 Main Street, Prospect Hill, NC 27314 | 2008-10-08 |
| 1982826491 | Joan Floyd | Pharmacist | 140 Main Street, Prospect Hill, NC 27314 | 2007-05-03 |
| 1558492439 | Piedmont Health Services, Inc. | Pharmacy | 322 Main Street, Prospect Hill, NC 27314 | 2007-03-09 |
| 1841644713 | Christina Olson Cronk | Family Medicine | Prospect Hill Community Health Center, 322 Main St, Prospect Hill, NC 27314-0001 | 2016-04-18 |
| 1083889745 | Gregory Val Wheatley | Dietitian, Registered | 140 Main Street, Prospect Hill, NC 27314-0004 | 2008-04-24 |
| 1447390133 | Homes That Care, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2198 Nc Highway 49 N, Prospect Hill, NC 27314-9324 | 2007-02-08 |
| Find all providers in zip 27314 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060571 | Audrey Kemp | Dentist | 322 Main Street, Prospect Hill, NC 27314 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677754 | Dr. Roman and Associates II, Pllc | Dentist | 913 E Broad St, Fuquay Varina, NC 27526-1960 | 2020-07-23 |
| 1700319035 | Kaaenaat Mustafa | Dentist | 228 Billingrath Turn Ln, Cary, NC 27519-2908 | 2017-04-04 |
| 1275072134 | Rutherford Polk Mcdowell Health District | Dentist | 221 Callahan-koon Rd, Spindale, NC 28160-1614 | 2017-02-13 |
| 1659636736 | Douglas Sconia Sanford Jr. | Dentist | 127 Kingston Dr, Chapel Hill, NC 27514-1650 | 2012-07-05 |
| 1699077800 | Robert Craig | Dentist | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2010-11-19 |
| 1881827046 | Jenny Swartz Weston | Dentist | 612 Pasteur Dr Ste 101, Greensboro, NC 27403-1120 | 2009-09-03 |
| 1255594412 | Robert Thomas Leddy | Dentist | 130 Fairway Dr, Rutherfordton, NC 28139-3208 | 2008-07-08 |
| 1588827257 | Pamela Rouse | Dentist | 5918 Nc 39 Hwy South, Bunn, NC 27508 | 2008-07-03 |
| 1437321148 | Lawrence A. Sladek, Dds | Dentist | 7332 Matthews Mint Hill Rd., Charlotte, NC 28227 | 2008-04-02 |
| 1578776316 | Theodore Hamlin Brooks | Dentist | 108 Clark Lake Rd, Durham, NC 27707-9557 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PROSPECT HILL |
| Zip Code | 27314 |
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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.