Nataleigh Hitt Plage
Individual provider Active NPI General Practice Dentistry · Willard, NC
NPI 1477902153 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1477902153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10333 (NC)
- Practice address
- 5531 Eleanor Roosevelt LN
Willard, NC 28478-6621 - Phone
- (910) 285-0400
- Fax
- (910) 567-5342
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201002118 | NC | Practitioner - Dentist | 3870888209 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10333 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Tri County Community Health Council Inc | Current |
Accepting new patients | |
| Tri County Community Health Council Inc | Current |
Accepting new patients |
Locations
3331 Easy St
Dunn, NC 28334
5531 Eleanor Roosevelt Ln
Willard, NC 28478
Phone (910) 285-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10333 | NC | Yes |
Addresses
Primary practice location
5531 Eleanor Roosevelt LN
Willard, NC 28478-6621
Mailing address
5531 Eleanor Roosevelt LN
Willard, NC 28478-6621
Phone (910) 285-0400
Other practice location 1
3331 Easy St
Dunn, NC 28334-7988
Phone (910) 567-6194
Other providers in Willard, NC
- Erica Teresa Merritt
- Mind of Hope Community Living Program, Inc
- Mind of Hope Psychology Services, Inc.
- Christopher Murphy
- Nevaeh'S Dream Family Home Care
- Serenity Family Care Home
- Serenity FCH, LLC
- The Lawsons House
- Melvin Russell Thomas
- Tri County Community Health Council Inc
All providers in Willard, 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 Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.