Individual provider Active NPI

Valerie Allayne Wynne-Hall, D.D.S., M.P.H., P.A.

  • General Practice Dentistry
  • Hope Mills, NC
National Provider Identifier
1124111968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4699 Issued in NC
Practice address
4146 S Main St
Hope Mills, NC 28348-2325
Phone
(910) 424-7665
Fax
(910) 424-1816
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4699 NC Primary

Addresses

Primary practice location

4146 S Main St
Hope Mills, NC 28348-2325

Mailing address

4146 S Main St
Hope Mills, NC 28348-2325
Phone (910) 424-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504001055 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436478047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4699NCMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates Xlix DDS PA General Practice PastSince Mar 19, 2023 Accepting new patients
Valerie a. Wynne-Hall, D.D.S., M.P.H., P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124111968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 S MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482325",
            "telephone_number": "910-424-7665",
            "fax_number": "910-424-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 S MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482325",
            "telephone_number": "910-424-7665",
            "fax_number": "910-424-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE-HALL",
        "first_name": "VALERIE",
        "middle_name": "ALLAYNE",
        "credential": "D.D.S., M.P.H., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

Verify at the official NPI Registry.