Active NPI
David P Violette, D.D.S.
- General Practice Dentistry
- Shallotte, NC
National Provider Identifier
1255765574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12418
- Practice address
- 301 S Willis Dr Ste 100
Shallotte, NC 28470-3445 - Phone
- (910) 754-7700
- Fax
- (000) 000-0000
- NPI assigned
- Aug 22, 2013
- Last updated
- May 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17473 | MA | |
| General Practice Dentistry | 1223G0001X | 12418 | NC | Primary |
Addresses
Primary practice location
301 S Willis Dr Ste 100
Shallotte, NC 28470-3445
Mailing address
301 S Willis Dr Ste 100
Shallotte, NC 28470-3445
Phone (910) 754-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17473 | MA | MD | General Practice Dentistry |
| 12418 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David P. Violette, D.D.S., P.C. | General Practice | Past | Accepting new patients |
| Sang Hoon Han DDS Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- West Bridgewater, MA
- NPI 1386659712
-
- Dental Clinic/Center
- West Bridgewater, MA
- NPI 1649900192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1255765574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S WILLIS DR STE 100",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284703445",
"telephone_number": "910-754-7700",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S WILLIS DR STE 100",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284703445",
"telephone_number": "910-754-7700",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLETTE",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-22",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "17473",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
- Elizabeth Ann Tumelty, OTR/L
- Varnam Family Wellness Center, LLC
- Deborah Coggins Varnam, FNP
- Alexander Yuri Varzari, MD
- Heather Renee Vick
- Cara Lyne-Ann Vitadamo, PMHNP
- Athan Vrettos
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1767)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Katherine J Waldrop
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.