Piedmont Smiles Mobile Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PIEDMONT SMILES MOBILE DENTISTRY

Practice address

205 Yorkfield Dr
Elkin, NC 28621-9364

Phone

(336) 366-0411

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Anna Grace Senter WilmothNPI 1174407605

Title

Executive Director

Phone

(336) 366-0411

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Grace Senter Wilmoth, RDH, MPH

  • Dental Hygienist
  • Elkin, NC
  • NPI 1174407605
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1215721022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286210004",
            "telephone_number": "336-270-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 YORKFIELD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286219364",
            "telephone_number": "336-366-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SMILES MOBILE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "WILMOTH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "GRACE SENTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-366-0411"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kelly Peters, LAT, ATC
• Robert Goodloe Peterson, M.D.
• Piedmont Department of Urology, PLLC
• Piedmont Foot & Ankle Associates, P.C.
• Piedmont Foot and Ankle Associates, P. C.
• Pinnacle Therapeutic Services
• Sara Caitlin Plum, OT
• Premier Anesthesia Group
• Charla Smith Pridgen, RPH
• Prism Medical Products, L.L.C.

• Dental Clinic/Center in Elkin, NC
• Providers in Elkin, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.