EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE (NPI# 1790212462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790212462 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Other Organization Name | ECU SCHOOL OF DENTAL MEDICINE-FPC |
| Practice Address |
1851 Macgregor Downs Rd Greenville NC 27834-5925 |
| Mailing Address |
1851 Macgregor Downs Rd Greenville NC 27834 |
| Practice Telephone | 2527377011 |
| Practice Fax Number | 2527377846 |
| Mailing Telephone | 2527377011 |
| Mailing Fax Number | 2527377846 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | LISA P ROSS (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2527377011 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST CAROLINA UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
Dental Providers | ||
| N | 125Q00000X | Oral Medicinist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| ECU School of Dental Medicine-FPC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497001127 | East Carolina University School of Dental Medicine | Clinic/Center | 1161 N Road Street, Elizabeth City, NC 27909 | 2012-07-31 |
| 1669750014 | East Carolina University School of Dental Medicine | Dentist | Ecu School of Dental Medicine, 1851 Macgregor Downs Rd, Greenville, NC 27834-4354 | 2011-08-02 |
| 1073069555 | East Carolina University School of Dental Medicine | Dentist | 316 County Services Park, Sylva, NC 28779-5713 | 2016-08-25 |
| 1942633482 | East Carolina University School of Dental Medicine | Dentist | 80 Autumn Fern Trail, Lillington, NC 27546 | 2013-08-20 |
| 1275806762 | East Carolina University School of Dental Medicine | Clinic/Center | 100 Health Center Drive, Ahoskie, NC 27910 | 2012-02-15 |
| Street Address |
1851 MACGREGOR DOWNS RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117252 | Bobby Mcmanus Collins II | Dentist | 1851 Macgregor Downs Rd, East Carolina University School of Dental Medicine, Greenville, NC 27834-5925 | 2005-10-12 |
| 1790393833 | Kristal Amalia Tucker | Dentist | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-07-15 |
| 1598381428 | Ashley Cole | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1407472335 | Mirna Azer Rezkalla | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1144845041 | Natalie Kirkman | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1093330995 | Megan Millon | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1902421803 | Melissa Marie Mertely | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1184249096 | Vinh Quang Dang | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1730704651 | Nadia Ali Ata | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1487279386 | Brittany Taylor Hewett | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184347 | Emily Brooke Wheeler Maltba | Dentist | 1105b Allen Ridge Dr, Greenville, NC 27834-0083 | 2020-05-02 |
| 1952937369 | Palms Dentistry 226 LLC | Dentist | 25 Innovation Dr # 100, Greenville, SC 29607-5252 | 2020-03-17 |
| 1053945964 | Huggins Dental LLC | Dentist | 407 Duncan Chapel Rd Ste B, Greenville, SC 29617-8224 | 2020-02-29 |
| 1578105482 | Star Bright Onsite, LLC | Dentist | 6709 White Horse Rd, Greenville, SC 29611-2503 | 2019-10-11 |
| 1053966408 | Maria Isabel Baltar De Barros Rego | Dentist | 1609 W Arlington Blvd Ste 107, Greenville, NC 27834-5610 | 2019-08-02 |
| 1366000739 | Andrew Joseph O'keefe | Dentist | 5076 Us Highway 264 E, Greenville, NC 27834-5804 | 2019-05-31 |
| 1811459159 | Southern Oak Dental, LLC | Dentist | 101 Verdae Blvd Ste 201, Greenville, SC 29607-3832 | 2019-04-04 |
| 1154889798 | Zachary Fox | Dentist | 1106 Woodruff Rd Ste A, Greenville, SC 29607-4109 | 2019-03-02 |
| 1366908238 | Joshua Lovick | Dentist | 3912 E 10th St, Greenville, NC 27858-8798 | 2019-02-15 |
| 1114497963 | Family Dental Health of Halton Road, LLC | Dentist | 155 Halton Village Cir Ste A, Greenville, SC 29607-6825 | 2018-12-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE.
| 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.