S. Ross Penland DMD PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9170 Issued in NC

Legal business name

S. ROSS PENLAND DMD PA

Practice address

1781 Tate Blvd SE
Hickory, NC 28602-4251

Phone

(828) 855-3779

Fax

(828) 855-3781

NPI assigned

Apr 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Ross Penland

Title

President

Phone

(828) 855-3779

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1013351824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024251",
            "telephone_number": "828-855-3779",
            "fax_number": "828-855-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024251",
            "telephone_number": "828-855-3779",
            "fax_number": "828-855-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. ROSS PENLAND DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "PENLAND",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-855-3779"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Adair Ruth
• Ryan C Sigmon, DMD, PA
• Kate Erin Ryan, DO
• Rys Rock Your Soul
• Rosanne Rzasa
• Jeffrey Saarela
• Michael E. Sabol, PA-C
• Andrea M Sain, GRNA
• Dakota Sain
• Gary Lee Sain, PHARMACIST

• Pediatric Dentistry in Hickory, NC
• Providers in Hickory, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.