Active NPI
Roupas Sullivan Tremont PLLC-1
- Dentist
- Albemarle, NC
National Provider Identifier
1164261939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ROUPAS SULLIVAN TREMONT PLLC-1
- Doing business as
- Dogwood Family Dentistry
- Practice address
- 701 N 2ND St
Albemarle, NC 28001-3313 - Phone
- (704) 982-6312
- NPI assigned
- May 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Plyler
- Title
- Office Manager
- Phone
- (704) 568-8010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
701 N 2ND St
Albemarle, NC 28001-3313
Mailing address
5833 Phyliss LN
Mint Hill, NC 28227-9031
Phone (704) 568-8010
Other names 1
- Dogwood Family Dentistry
National Provider Directory
National Provider DirectoryLocations
5833 Phyliss Ln
Mint Hill, NC 28227
Phone (704) 568-8010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743638400000",
"number": "1164261939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 PHYLISS LN",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282279031",
"telephone_number": "704-568-8010",
"fax_number": "704-563-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 2ND ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013313",
"telephone_number": "704-982-6312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUPAS SULLIVAN TREMONT PLLC-1",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-22",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "PLYLER",
"authorized_official_first_name": "TAYLOR",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "704-568-8010"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dogwood Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.