Organization Active NPI

Robert L Stutts III DMD Paii

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
National Provider Identifier
1780080655
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9065 Issued in NC
Legal business name
ROBERT L STUTTS III DMD PAII
Practice address
200 E Wendover Ave Ste B
Greensboro, NC 27401-1227
Phone
(336) 272-4583
Fax
(336) 378-6986
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Robert Lee Stutts III, DMD
Title
Owner/Surgeon
Phone
(336) 272-4583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 9065 NC Primary

Addresses

Primary practice location

200 E Wendover Ave Ste B
Greensboro, NC 27401-1227

Mailing address

200 E Wendover Ave Ste B
Greensboro, NC 27401-1227
Phone (336) 272-4583

National Provider Directory

National Provider Directory

Locations

200 E Wendover Ave
Ste B
Greensboro, NC 27401
Phone (336) 645-1517

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1780080655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WENDOVER AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011227",
            "telephone_number": "336-272-4583",
            "fax_number": "336-378-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WENDOVER AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011227",
            "telephone_number": "336-272-4583",
            "fax_number": "336-378-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L STUTTS III DMD PAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "STUTTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "336-272-4583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.