Organization Active NPI

Peter B Pryor Jr DMD PLLC

  • Dental Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1073313813
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PETER B PRYOR JR DMD PLLC
Practice address
3455 Healy Dr
Winston Salem, NC 27103-1442
Phone
(336) 765-7477
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Peter Pryor Jr., DMDNPI 1538548490
Title
Owner Doctor
Phone
(859) 361-1030

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3455 Healy Dr
Winston Salem, NC 27103-1442

Mailing address

3455 Healy Dr
Winston Salem, NC 27103-1442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1073313813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031442",
            "telephone_number": "336-765-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B PRYOR JR DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "859-361-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 18, 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.