SUE A. MINNEMAN-FOWLER, DDS, PLLC


Address: 1002 Jenkins Anenue, Maysville, NC 28555
Phone: 9107432521

SUE A. MINNEMAN-FOWLER, DDS, PLLC (NPI# 1689016206) 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) 1689016206
Entity Type Organization
Organization Name SUE A. MINNEMAN-FOWLER, DDS, PLLC
Practice Address 1002 Jenkins Anenue
Maysville
NC 28555
Mailing Address 1002 Jenkins Avenue
Maysville
NC 28555-0418
Practice Telephone 9107432521
Practice Fax Number 9107432531
Mailing Telephone 9107432521
Mailing Fax Number 9107432531
Enumeration Date 2013-07-24
Last Update Date 2013-07-24
Authorized Official Name DR. SUE ANN MINNEMAN-FOWLER (PRESIDENT/OWNER)
Authorized Official Telephone 9107432521
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 5410 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 5900050 05

Office Location

Street Address 1002 JENKINS ANENUE
City MAYSVILLE
State NC
Zip Code 28555

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255989273 Alaina Christine Weddle Dietitian, Registered 115 Waterford Way, Maysville, NC 28555 2019-09-03
1083084206 Aci Support Specialists Case Management 301 4th St., Maysville, NC 28555 2015-09-30
1437311248 Coastal Childrens Clinic Pediatrics 1004 Jenkins Avenue, Maysville, NC 28555 2008-07-02
1932216629 Sue Ann Minneman-fowler Dentist 1002 Jenkins Avenue, Maysville, NC 28555 2006-08-25
1669842894 Aci Support Specialists Case Management 402 Maple Ave, Maysville, NC 28555 2015-09-30
1225277163 Wilson's Home Care Agency, Inc. Technician 506 Main St., Maysville, NC 28555-0331 2009-02-17
1932269792 Nurses Plus Behavioral Health Services, LLC Community/Behavioral Health 378 Catfish Lake Rd., Maysville, NC 28555-0775 2006-12-11
1225294283 Quality-care Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 402 Maple Avenue, Maple, NC 28555-0942 2008-07-30
1407052194 Quality Care Behavioral Health Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 402 Maple Street, Maysville, NC 28555-0942 2007-06-21
1871701755 Pearls Family Care Home #1 Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 674 Smith Road, Maysville, NC 28555-9120 2007-05-21
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457775215 Burns & Burns Family Dentistry, Pllc Dentist 1907 Old Main St, Maysville, KY 41056-8957 2014-02-13
1427395805 Sarah Marie Carver Dentist 399 W Maple Leaf Rd, Maysville, KY 41056-9176 2013-01-06
1710004031 Alicia Rene Adkins Dentist 927 Kenton Station Dr, Maysville, KY 41056-9617 2007-03-23
1457411415 Kenneth J Smith Dds Dentist 399 W Maple Leaf Rd, Maysville, KY 41056-9176 2006-12-11
1518059062 Jo Ann Lewis Dentist 123 W 2nd St, Maysville, KY 41056 2006-09-29

Providers in the same taxonomy and state

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
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Competitor

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City MAYSVILLE
Zip Code 28555

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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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