NPIMap

Organization Active NPI

University Dental Associates Clemmons

  • Dentist
  • Clemmons, NC
National Provider Identifier
1326226796
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY DENTAL ASSOCIATES CLEMMONS
Practice address
6201 Towncenter Dr
Suite 130
Clemmons, NC 27012-9383
Phone
(704) 549-1509
NPI assigned
Feb 7, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Linda Moller
Title
Data Base Admi
Phone
(704) 549-1509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NC Primary

Addresses

Primary practice location

6201 Towncenter Dr
Suite 130
Clemmons, NC 27012-9383

Mailing address

6201 Towncenter Dr
Suite 130
Clemmons, NC 27012-9383
Phone (704) 549-1509

National Provider Directory

National Provider Directory
Tax ID family
Raymond Garrison DDS PA13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6201 Towncenter Dr
Ste 130
Clemmons, NC 27012
Phone (704) 549-1509

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326226796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 TOWNCENTER DR",
            "address_2": "SUITE 130",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129383",
            "telephone_number": "704-549-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 TOWNCENTER DR",
            "address_2": "SUITE 130",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129383",
            "telephone_number": "704-549-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL ASSOCIATES CLEMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DATA BASE ADMI",
        "authorized_official_telephone_number": "704-549-1509"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.