Active NPI
Liner, Ward & Shobe DDS, PA
- Dentist
- Lewisville, NC
National Provider Identifier
1760719843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- LINER, WARD & SHOBE DDS, PA
- Doing business as
- Southern Dental Associates
- Practice address
- 6570 Shallowford Rd
Lewisville, NC 27023-8651 - Phone
- (336) 945-5555
- Fax
- (336) 945-0125
- NPI assigned
- Nov 10, 2009
- Organization subpart
- Yes
- Parent organization
- LINER, WARD & SHOBE DDS, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dacia Eilert-Holcomb
- Title
- Office Manager
- Phone
- (336) 945-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
6570 Shallowford Rd
Lewisville, NC 27023-8651
Mailing address
6570 Shallowfrod Road
Lewisville, NC 27023
Phone (336) 945-5555
Other names 1
- Southern Dental Associates
National Provider Directory
National Provider Directory- Tax ID family
- Liner Ward Shobe DDS PA
- Part of
- Liner Ward Shobe DDS PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Wilkesboro, NC
- NPI 1053442210
-
- General Practice Dentistry
- Lexington, NC
- NPI 1578139499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1760719843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6570 SHALLOWFROD ROAD",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "27023",
"telephone_number": "336-945-5555",
"fax_number": "336-945-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6570 SHALLOWFORD RD",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270238651",
"telephone_number": "336-945-5555",
"fax_number": "336-945-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINER, WARD & SHOBE DDS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LINER, WARD & SHOBE DDS, PA",
"enumeration_date": "2009-11-10",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "EILERT-HOLCOMB",
"authorized_official_first_name": "DACIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "336-945-5555"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Dental Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lewisville, NC
- Lewisville Drug Company Inc
- Lewisville Drug Company, Inc.
- Lewisville Family Counseling, PLLC
- Lewisville Optical Inc
- Lifeworks Unilimited Pediatric Therapy Services, LLC
- Kimberly Jean Lis, MD
- Jennifer B Locklear, NCC, LPCS, LCAS, CSI
- Londry, Modlin, Tucker V DDS PLLC
- Love Still Matter Homecare, LLC
- Sarah Macreynolds, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.