Eric D. Hoverstad DDS PLLC II

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ERIC D. HOVERSTAD DDS PLLC II

Practice address

220 Springbrook Ave Ste 110
Clayton, NC 27520-5311

Phone

(919) 585-7646

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Eric HoverstadNPI 1720399017

Title

Managing Member

Phone

(919) 247-8404

Specialties & licenses 1

Addresses

Other names 1

• Raleigh Oral Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Deubler Hoverstad, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1720399017
  NPD (past) Authorized official
• Jason Michael Marrazzo, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Clayton, NC
  • NPI 1912341074
  NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1497529598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 COMPUTER DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096518",
            "telephone_number": "984-258-2727",
            "fax_number": "919-844-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SPRINGBROOK AVE STE 110",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205311",
            "telephone_number": "919-585-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D. HOVERSTAD DDS PLLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "HOVERSTAD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-247-8404"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cordelia O Emebo
• Emergeortho, PA
• Empowered Wellness Counseling Solutions, PLLC
• Emrich & Wood, DDS, PLLC
• Anna Erb
• Heidi Escoto, PSY.D
• Essential Supportive Services, LLC
• Hannah Evans
• Sheila Evans
• Wanda Harvey Evans

• Oral and Maxillofacial Surgery Clinic/Center in Clayton, NC
• Providers in Clayton, NC by specialty
• Oral and Maxillofacial Surgery Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.