DR. WILLIAM CARROLL BROOME


Address: 201 Charlois Blvd, Winston Salem, NC 27103-1507
Phone: 3667181906

DR. WILLIAM CARROLL BROOME (NPI# 1710903711) 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) 1710903711
Entity Type Individual
Full Name DR. WILLIAM CARROLL BROOME
Credential D.M.D.
Practice Address 201 Charlois Blvd
Winston Salem
NC 27103-1507
Mailing Address 6973 Bridgewood Rd
Clemmons
NC 27012-8515
Practice Telephone 3667181906
Mailing Telephone 3367669806
Enumeration Date 2006-07-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
5379 NC Dental Providers

Other Providers WILLIAM BROOME

NPI Name Taxonomy Address Enumeration
1588924526 William Jeffrey Broome Pediatrics 145 E Poinsett St, Greer, SC 29651-3405 2012-05-24
1326540022 William Tyler Broome Occupational Therapy Assistant 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2018-03-08
1962837385 William Lonas Broome Hearing Instrument Specialist 1578 Bella Cruz Dr, The Villages, FL 32159-8969 2013-09-04
1679671515 William Smith Broome Family Medicine 4410 Valley View Dr, Knoxville, TN 37917-1304 2006-09-21

Office Location

Street Address 201 CHARLOIS BLVD
City WINSTON SALEM
State NC
Zip Code 27103-1507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124058953 Kenneth M. Sadler Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-04
1043319049 Herbert J. Johnson Jr. Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-09-22
1336246248 Terrence Reilly Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-09-20
1215034129 Dwight English Bagley Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-09-20
1154435253 David William Ferris Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-08-18
1457369589 Elizabeth Anne Dixon Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-08-04
1912928409 Deborah Rascoe Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-21
1649299181 Randall J Gregory Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-18
1497771810 Grace Michelle Aileru Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-15
1477579555 Samuel Miller Byrd Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669595484 Roger Reynolds IIi Dentist 3809 Forrestgate Dr Ste A, Winston Salem, NC 27103-2982 2007-04-08
1295860690 W. Mark Suttle, Dds, Ms, Pa Dentist 1617 S. Hawthorne Road, Winston Salem, NC 27103 2007-02-23
1780834457 Nicole R Wright Dentist 3809 Forrestgate Dr Ste A, Winston Salem, NC 27103-2982 2008-09-30
1194941807 William Mark Suttle Dentist 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 2007-04-18
1245456979 Dudley C. Chandler Jr. Dentist 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 2007-04-18
1447394556 Kenneth Alton Peavy Dentist 1400 Westgate Center Dr, Suite 204, Winston Salem, NC 27103-3104 2007-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023623113 Yoon Chi Dentist 385 S Columbia St Suite 123 Brauer Hall, Chapel Hill, NC 27599-7450 2020-09-15
1962044560 Riccobene & Associates Xxxvi, Dds, P.a. Dentist 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 2019-10-15
1255985016 Farahnaz Fahimipour Dentist 123 Brauer Hall Department of Periodontology, Chapel Hill, NC 27599-0001 2019-07-30
1982257838 Amanda Finger Stadler Dentist Unc Adams School of Dentistry Brauer 140, Chapel Hill, NC 27599-0001 2019-07-19
1528542073 Sing Wai Wong Dentist 140 Dental Cir Chapel Hill Brauer Hall Room 123, Chapel Hill, NC 27599-7450 2018-09-20
1174030415 Craig Dorion Dds Mph Pa IIi Dentist 2310 Myron Dr Ste 100, Raleigh, NC 27607-3358 2018-01-09
1952824807 Vishal Gohel Dentist Department of Periodontology Unc School Of, Chapel Hill, NC 27599-0001 2017-07-24
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1568853943 Mais Sweidan Dentist 123 Brauer Hl, Campus Box 7450, Chapel Hill, NC 27599-0001 2015-02-06
1316353956 Elizabeth Campbell Dentist 150 Providence Rd Ste 200, Chapel Hill, NC 27514-2208 2014-07-03
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Competitor

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City WINSTON SALEM
Zip Code 27103

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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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