USA Dentac HQS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1486 Issued in NC

Legal business name

USA DENTAC HQS

Practice address

2817 Reilly St
Fort Bragg, NC 28310-7324

Phone

(910) 643-2196

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Charles Bernatovitz, BSD

Title

HSS

Phone

(910) 643-2196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1245682715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-643-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-643-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA DENTAC HQS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "BERNATOVITZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "HSS",
        "authorized_official_telephone_number": "910-643-2196",
        "authorized_official_credential": "BSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynne Urick, M.D.
• Mauricio Carlos Urrutia, MD
• US Army- Womack Army Medical Center
• USA Dentac
• USA Dentac
• Gabriel Valdez
• Nicole Vallee, RD, LDN
• Keri Vampola, LCSW
• Ashtyn Van Horn
• Alexandra Carleo Vanek, MD

• Dental Clinic/Center in Fort Bragg, NC
• Providers in Fort Bragg, 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 Jul 8, 2016; 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.