S. W. Webber D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2678 Issued in NC

Legal business name

S. W. WEBBER D.D.S., P.A.

Practice address

2120 Keller Ave
Charlotte, NC 28216-4632

Phone

(704) 392-9357

Fax

(704) 394-9098

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Spurgeon Willard Webber Jr., D.D.S.NPI 1265500839

Title

President

Phone

(704) 392-9357

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

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

• Spurgeon Willard Webber III, D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1265500839
  Medicare reassignment NPD Authorized official
• Nikki Elaine Jones, D.D.S

  • Dentist
  • Concord, NC
  • NPI 1417976101
  NPD (past)
• Eugenia Maria Perkins, D.D.S.

  • Dentist
  • Charlotte, NC
  • NPI 1760401467
  NPD (past)
• Courtney P Edwards, D.D.S

  • Dentist
  • Germantown, TN
  • NPI 1114247350
  NPD (past)
• Hilary Francis Wheeles, D.D.S.

  • Dentist
  • Kennesaw, GA
  • NPI 1720230956
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1649289760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 KELLER AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164632",
            "telephone_number": "704-392-9357",
            "fax_number": "704-394-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 KELLER AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164632",
            "telephone_number": "704-392-9357",
            "fax_number": "704-394-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. W. WEBBER D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "SPURGEON",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-392-9357",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890160J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• S. Shembo Etienne, D.D.D., P.a.
• S. Vakil DDS Ms I, PA
• S. Vakil DDS Ms IV, PA
• S. W. Webber, III, DDS, PA
• S.J.Burrow,III.D.D.S.,M.S.,P.L.L.C.
• S.L. Simmons-Boyd, D.D.S., P.a.
• S.O.a.R. Vocational Solutions Inc.
• S.T.E.P'S Developmental Academy, Inc.

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, 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 30, 2008; 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.