Stuart McKinley Patterson, DDS
Individual provider Active NPI General Practice Dentistry · Alamance, NC
NPI 1194836668 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194836668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8179 (NC)
- Practice address
- 2879 Rob Shepard Dr
Alamance, NC 27201 - Phone
- (336) 226-9078
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8179 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8179 | NC | Yes |
Addresses
Primary practice location
2879 Rob Shepard Dr
Alamance, NC 27201
Mailing address
PO Box 369
Alamance, NC 27201
Phone (336) 226-9078
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.