RALEIGH PEDIATRIC DENTISTRY (NPI# 1851620702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851620702 |
| Entity Type | Organization |
| Organization Name | RALEIGH PEDIATRIC DENTISTRY |
| Practice Address |
10931 Raven Ridge Rd Suite 105 Raleigh NC 27614-6499 |
| Practice Telephone | 9198458212 |
| Practice Fax Number | 9198458201 |
| Mailing Telephone | 9198458212 |
| Mailing Fax Number | 9198458201 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | DR. DAVID D OLSON (OWNER) |
| Authorized Official Telephone | 9198458212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
10931 RAVEN RIDGE RD SUITE 105 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-6499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123847 | Audrey F Echt | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-06-09 |
| 1821379702 | Annette Christine Baker | Psychologist | 10931 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6499 | 2011-09-06 |
| 1508192493 | Baker Clinical Services, Pa | Social Worker | 10931 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6499 | 2009-10-27 |
| 1568652899 | Toby Ray Alligood | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2007-08-01 |
| 1760687370 | Andrew Jafar Ghassemian | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2007-06-15 |
| 1114050291 | Falls Medical Center Pa | Clinic/Center | 10931 Raven Ridge Rd, Ste 115, Raleigh, NC 27614-6499 | 2007-03-14 |
| 1760564389 | Chiropractic Works, Pllc | Chiropractor | 10931 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6499 | 2006-10-20 |
| 1013011535 | William Randall Murray | Chiropractor | 10931 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6499 | 2006-09-13 |
| 1205895950 | Audrey F. Echt, Md, Pa | Clinic/Center | 10931 Raven Ridge Rd, Suite 101, Raleigh, NC 27614-6499 | 2006-03-21 |
| 1255306999 | David D Olson | Dentist | 10931 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6499 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447526389 | David C. Slawisnki Dds, Pa | Dentist | 5041 Six Forks Rd Ste 100, Raleigh, NC 27609-4494 | 2012-03-26 |
| 1215026943 | Drs. Pfefferle and Kindrachuk | Dentist | 7800 Six Forks Rd, Raleigh, NC 27615-2980 | 2006-10-12 |
| 1174575799 | Christi Michelle Davis | Dentist | 10411 Moncreiffe Road, Suite 105b, Raleigh, NC 27617-6452 | 2006-05-16 |
| 1306894597 | Parrish Macon Collie & Pretzer Dds Pa | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2006-05-04 |
| 1699743013 | Lareejohnson Dds, Ms, Pllc | Dentist | 2800 Wakefield Drive, Ste 110, Raleigh, NC 27614 | 2006-03-10 |
| 1316915861 | Euphemia Laree Johnson | Dentist | 2800 Wakefield Pines Dr, Ste 110, Raleigh, NC 27614-8998 | 2006-03-10 |
| 1770551558 | Robin Joy Croswell | Dentist | 2880 Wakefield Pines Dr, Ste 110, Raleigh, NC 27614-8998 | 2006-03-09 |
| 1497026058 | Christi M. Davis, Dds, Pa IIi | Dentist | 2406 Blue Ridge Road, Suite 210, Raleigh, NC 27607-6452 | 2012-01-13 |
| 1407149271 | Christi M. Davis, Dds, Pa, II | Dentist | 10411 Moncreiffe Rd, Suite 105b, Raleigh, NC 27617-7819 | 2011-05-26 |
| 1811219488 | Don J Kindrachuk | Dentist | 7800 Six Forks Rd, Raleigh, NC 27615-2980 | 2010-02-23 |
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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.