David G. Polhemus DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5779 Issued in NC

Legal business name

DAVID G. POLHEMUS DDS, PLLC

Practice address

8001 Creedmoor Rd Ste 201
Raleigh, NC 27613-4396

Phone

(919) 870-7104

Fax

(919) 870-7165

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

David G Polhemus, DDS

Title

Manager, Member

Phone

(919) 870-7104

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205040953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134396",
            "telephone_number": "919-870-7104",
            "fax_number": "919-870-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134396",
            "telephone_number": "919-870-7104",
            "fax_number": "919-870-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. POLHEMUS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLHEMUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER, MEMBER",
        "authorized_official_telephone_number": "919-870-7104",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davestel Healthcare Services LLC
• James Edward Davey, RPH
• David C. Slawisnki DDS, PA
• David D. Olson, DDS, Ms, PA
• David F Colvard, MD, PA
• David M Fajgenbaum MD PA
• David Turner Jones MD PA
• Cameron David
• Edeliza Calub David, NP
• Lisa M. David, PA-C

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 Aug 22, 2020; 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.