Forest City Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

08787 Issued in NC

Legal business name

FOREST CITY FAMILY DENTISTRY

Practice address

621 S Broadway St
Forest City, NC 28043-4246

Phone

(828) 248-9100

Fax

(828) 248-2276

NPI assigned

May 10, 2018

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Hall, DMDNPI 1053547042

Title

Dentist/Owner

Phone

(828) 248-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey David Hall, D.M.D

  • General Practice Dentistry
  • Forest City, NC
  • NPI 1053547042
  NPD Authorized official
• Joseph Allistair Wilkie, DMD

  • Dentist
  • Forest City, NC
  • NPI 1396434080
  NPD (past)

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1023508553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434246",
            "telephone_number": "828-248-9100",
            "fax_number": "828-248-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434246",
            "telephone_number": "828-248-9100",
            "fax_number": "828-248-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CITY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "828-248-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "08787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Center of the Carolinas, PA
• Foothills Family Health Care
• Foothills Infusion Therapies
• Footprints Carolina Inc
• Forest City Chiropractic, P.a.
• Kathryn Anne Fraccola, DNP-FNP
• Douglas Blake Francis
• Kamay H Gaboda, LCMHCS LCAS, CCS
• Michaela Gamez
• Terrionna Kayesha Gannon, DC

• Dental Clinic/Center in Forest City, NC
• Providers in Forest City, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.