Mary Julia Prewitt, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5838 Issued in NC

Practice address

4140 Ramsey St
Suite 105
Fayetteville, NC 28311-7672

Phone

(910) 488-2292

Fax

(910) 488-5751

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prewitt & Prewitt, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, NC
  • NPI 1629080361
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659383313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53662",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053662",
            "telephone_number": "910-488-2292",
            "fax_number": "910-488-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 RAMSEY ST",
            "address_2": "SUITE 105",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117672",
            "telephone_number": "910-488-2292",
            "fax_number": "910-488-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "MARY",
        "middle_name": "JULIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "UC 789774",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Inc,
• Andrew Arthur Baird Preston, PA-C
• Anthony James Preston
• Prewitt & Prewitt, PA
• James Robinson Prewitt, DDS
• Price Personal Development
• Christopher Charles Price-Cunningham, PA-C
• Jordan Avery Price, M.S., CCC-SLP
• Judy Millen Price
• Kathryn Price, MS, NCC, LCMHC, LCAS

• Orthodontics and Dentofacial Orthopedics Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.