Roupas Sullivan Tremont PLLC-2

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROUPAS SULLIVAN TREMONT PLLC-2

Doing business as

Dogwood Family Dentistry-Ballantyne

Practice address

14746 Lancaster Hwy # B
Pineville, NC 28134-9313

Phone

(704) 583-5217

NPI assigned

May 29, 2024

Organization subpart

No

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

Addresses

Other names 1

• Dogwood Family Dentistry-Ballantyne Doing business as

Locations

Practitioners 1

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

• George Yi-Jaan Soung, DDS, FAAOMS, FACOMS

  • Oral and Maxillofacial Surgery (Dentist)
  • Pineville, NC
  • NPI 1619314556
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1255171104",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14746 LANCASTER HWY # B",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349313",
            "telephone_number": "704-583-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUPAS SULLIVAN TREMONT PLLC-2",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "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-Ballantyne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adia Roberts Mosely
• Keyona Dion Terry Robertson, MED, CCC-SLP
• Destiny Robinette
• Rose of Sharon Covenant Ministries (Covenant Home Health)
• Carlie Roseman, RD, LDN
• Sam's Club Optical (Sam's Club Optical 30-6348)
• Sams East Inc (Sams Pharmacy 10-6348)
• Camilo Alberto Sanchez, L. AC
• Brooke Scales, PP-OTD, MS, OTR/L
• Brandon Steven Scott, COTA/L

• Dentist in Pineville, NC
• Providers in Pineville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.