Individual provider Active NPI

William Church, DDS

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1124719133
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
113200 Issued in NC
Practice address
2711 N Duke St Ste B
Durham, NC 27704-2666
Phone
(919) 220-6553
NPI assigned
May 19, 2023
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 113200 NC Primary

Addresses

Primary practice location

2711 N Duke St Ste B
Durham, NC 27704-2666

Mailing address

2711 N Duke St Ste B
Durham, NC 27704-2666
Phone (919) 220-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113200NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William R Church, DDS, PLLC General Practice CurrentSince Sep 8, 2025 Accepting new patients
Grant H Service DDS PA General Practice PastSince Sep 8, 2025 Accepting new patients
Riccobene & Associates I, DDS, P.a. General Practice PastSince Jul 1, 2023 Accepting new patients
Riccobene & Associates I, DDS, P.a. General Practice PastSince Jul 1, 2023 Accepting new patients

Locations

2711 N Duke St
Ste B
Durham, NC 27704
Phone (919) 220-6553

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1124719133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042666",
            "telephone_number": "919-220-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042666",
            "telephone_number": "919-220-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "113200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.