Laura a Collatz, DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAURA A COLLATZ, DDS PA

Doing business as

Enchanting Smiles Family Dentistry

Practice address

360 West St Ste 100
Pittsboro, NC 27312-9448

Phone

(919) 542-2712

Fax

(919) 542-7279

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Laura A Collatz, DDS, RDH, PANPI 1962638395

Title

Dentist/Ceo

Phone

(919) 542-2712

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Enchanting Smiles Family Dentistry 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, and the practitioner matching its NPPES authorized official.

• Laura A Collatz, DDS

  • Dentist
  • Pittsboro, NC
  • NPI 1962638395
  NPD Authorized official
• Petteri Tapani Salo, DDS

  • General Practice Dentistry
  • Pittsboro, NC
  • NPI 1114666930
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1689309916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WEST ST STE 100",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129448",
            "telephone_number": "919-542-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WEST ST STE 100",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129448",
            "telephone_number": "919-542-2712",
            "fax_number": "919-542-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A COLLATZ, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "COLLATZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "919-542-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, RDH, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enchanting Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enchanting Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• L. Brett Wells DDS X PLLC
• Laboratory Corporation of America Holdings
• Amy Madeline Lamb, MS, RD, LDN
• Lane and Associates Xxiii, DDS, PA
• Katherine Amelia Lasater, PHARMD
• Laurel Health Care Company of Chatham North Carolina, Inc (The Laurels of Chatham)
• Laurel Health Care Company of Chatham North Carolina, Inc. (The Laurels of Chatham)
• Jazmin Laus, LMFTA
• Shaunquisha Leary
• Shannon Colleen Rose Leith, MSW, LCSW

• Dental Clinic/Center in Pittsboro, NC
• Providers in Pittsboro, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.