Organization Active NPI

Debora a. Bolton, DDS, PA II

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1487048401
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7251 Issued in NC
Legal business name
DEBORA A. BOLTON, DDS, PA II
Doing business as
Bull City Smiles
Practice address
2705 N Duke St
Suite 100
Durham, NC 27704-2619
Phone
(919) 381-5900
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Debora A. Bolton, D.D.S.
Title
Owner/Doctor
Phone
(919) 479-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7251 NC Primary

Addresses

Primary practice location

2705 N Duke St
Suite 100
Durham, NC 27704-2619

Mailing address

2705 N Duke St
Suite 100
Durham, NC 27704-2619
Phone (919) 381-5900

Other names 1

  • Bull City Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

2705 N Duke St
Ste 100
Durham, NC 27704
Phone (919) 381-5900

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1487048401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 N DUKE ST",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042619",
            "telephone_number": "919-381-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N DUKE ST",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042619",
            "telephone_number": "919-381-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORA A. BOLTON, DDS, PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "919-479-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bull City Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.