Douglas a Tutterow DDS PA
Organization Active NPI General Practice Dentistry · Pfafftown, NC
NPI 1306980362 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1306980362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5245 (NC)
- Legal business name
- DOUGLAS A TUTTEROW DDS PA
- Practice address
- 4680 Yadkinville Rd
Pfafftown, NC 27040-8622 - Phone
- (336) 924-9555
- Fax
- (336) 924-3168
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Douglas Alan Tutterow, DDS
- Title
- President
- Phone
- (336) 924-9555
Practitioners 1
-
Doug A Tutterow, DDS
National Provider Directory
Locations
4680 Yadkinville Rd
Pfafftown, NC 27040
Phone (336) 924-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5245 | NC | Yes |
Addresses
Primary practice location
4680 Yadkinville Rd
Pfafftown, NC 27040-8622
Mailing address
4680 Yadkinville Rd
Pfafftown, NC 27040-8622
Phone (336) 924-9555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4998654 | Medicaid | NC |
Other providers in Pfafftown, NC
- James Stewart Campbell
- Diana Lorena Cardona Giraldo
- Carolina Low Vision Rehabilitation
- CCCH Inc
- Eileen Coleman
- Echo Trail Group Home
- Rosalyn Ford
- Forsyth Memorial Hospital
- Natalie Marisa Fowler
- Geraldine Gallagher
All providers in Pfafftown, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.