Edward F. Scammon DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6537 Issued in NC

Legal business name

EDWARD F. SCAMMON DMD PA

Practice address

327 Teal Dr
Raeford, NC 28376-2527

Phone

(910) 848-0090

Fax

(910) 848-1892

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Edward Floyd Scammon, D.M.D.

Title

President

Phone

(910) 826-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hometown Family Dental Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Edward F. Scammon DMD PA

  • General Practice Dentistry
  • Vass, NC
  • NPI 1114247822

  O20140414000462

  Same enrollment
• Edward F. Scammon DMD PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1700921988

  O20140414000462

  Same enrollment

Tax ID family

Edward F Scammon DMD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Edward F. Scammon DMD PA

  • General Practice Dentistry
  • Vass, NC
  • NPI 1114247822
  NPD tax ID
• Edward F. Scammon DMD PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1700921988
  NPD tax ID

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1598085227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 TEAL DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762527",
            "telephone_number": "910-848-0090",
            "fax_number": "910-848-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 TEAL DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762527",
            "telephone_number": "910-848-0090",
            "fax_number": "910-848-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F. SCAMMON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SCAMMON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-826-4900",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015E0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elite Supply Services, Inc.

• General Practice Dentistry in Raeford, NC
• Providers in Raeford, 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 Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.