Southern Living Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

9297 Issued in NC

Legal business name

SOUTHERN LIVING FAMILY DENTISTRY

Practice address

100 Pinecroft Dr
Clayton, NC 27520-6923

Phone

(919) 244-1271

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Grabowski, D.D.S.NPI 1578824488

Title

Owner/Member

Phone

(919) 244-1271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew J Grabowski, D.D.S.

  • General Practice Dentistry
  • Clayton, NC
  • NPI 1578824488
  NPD (past) Authorized official

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1700238367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINECROFT DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206923",
            "telephone_number": "919-244-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINECROFT DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206923",
            "telephone_number": "919-244-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVING FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "GRABOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "919-244-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.