Comprehensive Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5372 Issued in NC

Legal business name

COMPREHENSIVE DENTAL CENTER

Practice address

3705 Symi Cir
Morehead City, NC 28557-4314

Phone

(252) 247-3510

Fax

(252) 247-6197

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack T Winchester, DMDNPI 1972611523

Title

Dentist Owner

Phone

(252) 247-3510

Specialties & licenses 1

Addresses

Tax ID family

Comprehensive Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jack T Winchester DMD

  • Dentist
  • Morehead City, NC
  • NPI 1154627230
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Tyler Winchester, DMD

  • Dentist
  • Morehead City, NC
  • NPI 1972611523
  Authorized official Same address or phone

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1396111647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 SYMI CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574314",
            "telephone_number": "252-247-3510",
            "fax_number": "252-247-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SYMI CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574314",
            "telephone_number": "252-247-3510",
            "fax_number": "252-247-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "252-247-3510",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Cohen
• Robert Emmel Coles, MD
• Jordan Britton Collins, PA-C
• Community Pharmacy, Inc.
• Community Pharmacy, Inc.
• Anna Conniff
• Contemporary Nutrition Inc
• County of Carteret (Carteret county Health Department)
• County of Carteret Courthouse Square Finance Office (Carteret County Health Department)
• County of Carteret Courthouse Square Finance Office (Carteret County Health Department)

• General Practice Dentistry in Morehead City, NC
• Providers in Morehead City, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.