William Carter Grine, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

12753 Issued in NC

Practice address

1602 Benjamin Pkwy Ste a
Greensboro, NC 27408-2016

Phone

(336) 288-0010

Fax

(336) 282-5754

NPI assigned

Jun 21, 2022

Last updated

Jan 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1598496598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BENJAMIN PKWY STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082016",
            "telephone_number": "336-288-0010",
            "fax_number": "336-282-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 BENJAMIN PKWY STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082016",
            "telephone_number": "336-288-0010",
            "fax_number": "336-282-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINE",
        "first_name": "WILLIAM",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026914",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "30.026914",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.