Organization Active NPI

Eric D. Hoverstad, DDS PLLC III

Doing business as Raleigh Oral Surgery - North Raleigh

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
National Provider Identifier
1023821683
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ERIC D. HOVERSTAD, DDS PLLC III
Doing business as
Raleigh Oral Surgery - North Raleigh
Practice address
8301 Bandford Way Ste 121
Raleigh, NC 27615-2766
Phone
(919) 876-4746
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Eric Hoverstad, DDSNPI 1720399017
Title
Oral Surgeon
Phone
(919) 876-4746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

8301 Bandford Way Ste 121
Raleigh, NC 27615-2766

Mailing address

8301 Bandford Way Ste 121
Raleigh, NC 27615-2766
Phone (919) 876-4746

Other names 1

  • Raleigh Oral Surgery - North Raleigh Doing business as

National Provider Directory

National Provider Directory

Locations

8301 Bandford Way
Ste 121
Raleigh, NC 27615
Phone (919) 876-4746

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1023821683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 BANDFORD WAY STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152766",
            "telephone_number": "919-876-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 BANDFORD WAY STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152766",
            "telephone_number": "919-876-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D. HOVERSTAD, DDS PLLC III",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "HOVERSTAD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "919-876-4746",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Oral Surgery - North Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.