Edward F. Scammon DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6537 Issued in NC

Legal business name

EDWARD F. SCAMMON DMD PA

Doing business as

Hometown Family Dental Centers

Practice address

115 Southern Dunes Dr
Vass, NC 28394-9218

Phone

(910) 693-8030

Fax

(910) 693-8006

NPI assigned

Jun 3, 2010

Last updated

Jul 17, 2013By 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

Edward Floyd Scammon, D.M.D.NPI 1306981550

Title

President

Phone

(910) 826-4900

Specialties & licenses 1

Addresses

Other names 1

• Hometown Family Dental Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Edward F. Scammon DMD PA

  dba Hometown Family Dental Centers

  • General Practice Dentistry
  • Raeford, NC
  • NPI 1598085227

  O20140414000462

  Same enrollment
• Edward F. Scammon DMD PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1700921988

  O20140414000462

  Same enrollment

Tax ID family

Edward F Scammon DMD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Edward F. Scammon DMD PA

  dba Hometown Family Dental Centers

  • General Practice Dentistry
  • Raeford, NC
  • NPI 1598085227
  NPD tax ID
• Edward F. Scammon DMD PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1700921988
  NPD tax ID

Locations

Practitioners 3

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.

• Edward Floyd Scammon, D.M.D.

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1306981550
  NPD Authorized official
• Ian Robert Stewart, DDS

  • General Practice Dentistry
  • Gallatin, TN
  • NPI 1124695515
  NPD (past)
• Mark Alan Zubick, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1548312267
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1114247822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SOUTHERN DUNES DR",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949218",
            "telephone_number": "910-693-8030",
            "fax_number": "910-693-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTHERN DUNES DR",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949218",
            "telephone_number": "910-693-8030",
            "fax_number": "910-693-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F. SCAMMON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SCAMMON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-826-4900",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acorn Autism LLC
• Diane B Allen
• Hillary Latoya Baker
• Be Herd LLC
• Alexis J Ellis, LCSWA
• Equijourney International, LLC
• Kelly Erkenbrack, MSW, LCSW
• Rhonda Lea Falton, LCSW-A
• FHPG, LLC

• General Practice Dentistry in Vass, NC
• Providers in Vass, 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 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.