Active NPI
Sharon Cobham,D.D.S.,and Nicole Lecann,D.D.S.II, P.a.
- General Practice Dentistry
- Winston Salem, NC
National Provider Identifier
1053545236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7000
- Legal business name
- SHARON COBHAM,D.D.S.,AND NICOLE LECANN,D.D.S.II, P.A.
- Practice address
- 3333 Brookview Hills Blvd Ste 201
Winston Salem, NC 27103-5661 - Phone
- (336) 768-3084
- Fax
- (336) 768-7332
- NPI assigned
- May 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Lecann
- Title
- Owner
- Phone
- (919) 789-8682
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7000 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 6970 | NC |
Addresses
Primary practice location
3333 Brookview Hills Blvd Ste 201
Winston Salem, NC 27103-5661
Mailing address
4814 Six Forks Rd Ste 102
Attn: Dr. Lecann
Raleigh, NC 27609-5246
Phone (919) 783-5550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1053545236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4814 SIX FORKS RD STE 102",
"address_2": "ATTN: DR. LECANN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095246",
"telephone_number": "919-783-5550",
"fax_number": "919-791-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BROOKVIEW HILLS BLVD STE 201",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035661",
"telephone_number": "336-768-3084",
"fax_number": "336-768-7332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON COBHAM,D.D.S.,AND NICOLE LECANN,D.D.S.II, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "LECANN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-789-8682",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7000",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.