P. Alexander Bollendorf, D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

P. ALEXANDER BOLLENDORF, D.M.D., P.A.

Practice address

607 Benson Rd Ste a
Garner, NC 27529-3988

Phone

(919) 772-7030

NPI assigned

Jan 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Alexander BollendorfNPI 1881623759

Title

President

Phone

(919) 772-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Patrick Alexander Bollendorf, DMD

  • General Practice Dentistry
  • Garner, NC
  • NPI 1881623759
  Authorized official Same address or phone

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770632861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BENSON RD STE A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-772-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BENSON RD STE A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-772-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. ALEXANDER BOLLENDORF, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLLENDORF",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-772-7030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90198",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Ottley, M.D.
• Overcomer's by Faith, Inc.
• Brooke Christine Owen, PAC
• Florence Bright Owen, LCMHC
• Chasity Carol Oxendine, DC
• Fredrika Page
• Geoffrey Andrew Pahel, DPT
• Michael Papasidero, DNP
• Jayanthi Paramasivam
• Heather Smith Parker, PA-C

• General Practice Dentistry in Garner, NC
• Providers in Garner, 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 Aug 22, 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.