ROCKY RIVER FAMILY DENTISTRY


Address: 3475 Us Highway 601 S, Concord, NC 28025-0490
Phone: 7042823356

ROCKY RIVER FAMILY DENTISTRY (NPI# 1558825208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558825208
Entity Type Organization
Organization Name ROCKY RIVER FAMILY DENTISTRY
Practice Address 3475 Us Highway 601 S
Concord
NC 28025-0490
Mailing Address 7239 Baybrooke Ln
Harrisburg
NC 28075-8381
Practice Telephone 7042823356
Mailing Telephone 7042823356
Enumeration Date 2019-01-28
Last Update Date 2019-01-28
Authorized Official Name AMBER CLARKE (PRACTIVE MANAGER)
Authorized Official Telephone 7042823356
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Paul S Clarke IV DMD PLLC Other Name - Individual/Organization

Office Location

Street Address 3475 US HIGHWAY 601 S
City CONCORD
State NC
Zip Code 28025-0490

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1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861031874 Afton Endodontics LLP Clinic/Center 5345 Vining St Nw Ste 201, Concord, NC 28027-2938 2019-12-23
1164944971 Concord Dental Care, P.C. Clinic/Center 290 Baker Ave Ste 201, Concord, MA 01742-2189 2017-07-13
1366894941 Concord Center Dental LLC Clinic/Center 136 Sudbury Rd, Concord, MA 01742-2422 2016-07-07
1811365919 Julita S. Patil D.d.s., Inc. Clinic/Center 2991 Treat Blvd Ste H, Concord, CA 94518-3604 2015-09-04
1356693642 Smile Master of Concord Clinic/Center 246 Pleasant St # 225a, Concord, NH 03301-2548 2012-10-10
1538181482 La Clinica De La Raza Inc Clinic/Center 2000 Sierra Road, Concord, CA 94518-2905 2006-07-23
1629698832 Ambra Dental Care, Pllc Clinic/Center 1 Pillsbury St Ste 203, Concord, NH 03301-3556 2020-04-17
1689209272 Alexander Ham, D.d.s., Inc. Clinic/Center 2951 Salvio St, Concord, CA 94519-2534 2020-03-04
1235637224 Advanced Dental of Concord, Pllc Clinic/Center 75 Clinton St, Concord, NH 03301-2310 2018-01-25
1851899843 Concord Dental Associates, Pllc Clinic/Center 75 Clinton St, Concord, NH 03301-2310 2018-01-25
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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

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.

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