DR. ADAM DAVID LIETZAN (NPI# 1982125837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982125837 |
| Entity Type | Individual |
| Full Name | DR. ADAM DAVID LIETZAN |
| Credential | PHD, DMD |
| Practice Address |
111 Brauer Hall Unc At Chapel Hill School of Dentistry - Dept of Perio Chapel Hill NC 27599-7450 |
| Mailing Address |
1100 W Nc Highway 54 Byp Apt 70 Chapel Hill NC 27516-2890 |
| Practice Telephone | 3023815158 |
| Mailing Telephone | 3023815158 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10709 | NC | Dental Providers |
| Street Address |
111 BRAUER HALL UNC AT CHAPEL HILL SCHOOL OF DENTISTRY - DEPT OF PERIO |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134615891 | John Bruce | Dentist | 111 Brauer Hall, Chapel Hill, NC 27599-0001 | 2018-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831733534 | Tariq Aziz Alsahafi | Dentist | 429 Brauer Hall Cb 7450, Chapel Hill, NC 27599-0001 | 2019-11-05 |
| 1427692367 | Basheer Alsayed | Dentist | 160 Dental Cir Operative Dentistry 401 Brauer Hall, Chapel Hill, NC 27599-0001 | 2019-11-04 |
| 1477109486 | Ali Altak | Dentist | 385 S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-08-15 |
| 1639724719 | Joshua Aaron Raisin | Dentist | Department of Pediatric Dentistry 101 Manning Drive, Chapel Hill, NC 27599-0001 | 2019-08-06 |
| 1215581632 | Rebecca Susan King | Dentist | 120 Conner Dr Ste 201, Chapel Hill, NC 27514-7092 | 2019-07-25 |
| 1336701697 | Julie Driscoll | Dentist | 1016 Village Crossing Dr, Chapel Hill, NC 27517-7568 | 2019-07-07 |
| 1629550611 | Islam Abd Alraheam | Dentist | 436 Brauer Hall Cb #7450 Chapel Hill Nc 27599-7450, Chapel Hill, NC 27599-0001 | 2018-09-05 |
| 1033695135 | Daniel S Lee | Dentist | 269 Brauer Hall Department of Orthodontics, Chapel Hill, NC 27599-0001 | 2018-07-12 |
| 1790271369 | Robert Keyser | Dentist | 330 Brauer Hall Campus Box # 7450, Chapel Hill, NC 27599-0001 | 2018-07-07 |
| 1194218842 | Christopher Presnell | Dentist | 35 Forest Gln, Chapel Hill, NC 27517-8939 | 2018-06-07 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.