John a Overton II DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN A OVERTON II DDS PA

Practice address

710 Military Cutoff Rd Ste 100
Wilmington, NC 28405-2379

Phone

(910) 541-4040

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John Anderson Overton, DDSNPI 1770733925

Title

President

Phone

(910) 619-1962

Specialties & licenses 1

Addresses

Other names 1

• Mayfaire Family Dentistry Doing business as

Locations

Practitioners 1

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

• John Anderson Overton, DDS

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1770733925
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1700404902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052379",
            "telephone_number": "910-541-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052379",
            "telephone_number": "910-541-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A OVERTON II DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-619-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfaire Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Renee Jimenez, MD
• Ling Jin, LCMHCA
• JMF Wellness LLC Pure Physical Therapy
• Charles L Joachim, MD
• James Golden Joachim, MD
• John D Lanthier, DPM, Facfas
• John E Hoggard DMD PLLC
• John F White DDS PA
• John J Harris MD PLLC
• John M Romulus DDS PA

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, 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 14, 2020; 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.