Richard R Pence DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3590 Issued in NC

Legal business name

RICHARD R PENCE DDS PA

Practice address

7482 Waterside Crossing Blvd Ste 102
Denver, NC 28037-3006

Phone

(704) 489-8221

Fax

(704) 822-0448

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Raymond Pence, DDS, MAGD

Title

Owner

Phone

(704) 489-8221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1275752180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7482 WATERSIDE CROSSING BLVD STE 102",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373006",
            "telephone_number": "704-489-8221",
            "fax_number": "704-822-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7482 WATERSIDE CROSSING BLVD STE 102",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373006",
            "telephone_number": "704-489-8221",
            "fax_number": "704-822-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R PENCE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-489-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MAGD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Denver, NC
• Providers in Denver, 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 Nov 8, 2011; 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.