Wake Cross Roads Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7970 Issued in NC

Legal business name

WAKE CROSS ROADS DENTISTRY

Doing business as

D.D. Family Dental Care

Practice address

2303 W Morehead St
Suite 103
Charlotte, NC 28208-5186

Phone

(704) 304-5513

NPI assigned

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Conrad Dillard, D.D.S.

Title

Dentist/Owner

Phone

(919) 802-8508

Specialties & licenses 2

Addresses

Other names 1

• D.D. Family Dental Care Doing business as

Locations

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1063700334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 W MOREHEAD ST",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085186",
            "telephone_number": "704-304-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 W MOREHEAD ST",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085186",
            "telephone_number": "704-304-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE CROSS ROADS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-802-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7970",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.D. Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly T Wahab, NP
• Carrie Sook-Yee Wai, M.A.
• Jennifer Dawn Waid, OTR/L
• Scott D Wait, MD
• Israa Nadeem Wajih
• Erin Wakefield
• Amanda Kocoloski Wakeley, DO
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2134)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5481)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5063)

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.