David Dillard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7970 Issued in NC

Practice address

4008 Mitchell Mill Road
Suite 108
Raleigh, NC 27616

Phone

(919) 453-0777

Fax

(919) 453-0774

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1689626178
  Medicare reassignment NPD
• Wake Cross Roads Dentistry

  • Dental Clinic/Center
  • Raleigh, NC
  • NPI 1609076074
  NPD (past) Authorized official
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Henderson, NC
  • NPI 1124269022
  NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1669500997

  General Practice

  NPD
• Abdullah Mahmud DDS PLLC

  • Dental Clinic/Center
  • Raleigh, NC
  • NPI 1205538899
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1780723148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 ROLLING FIELD DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297139",
            "telephone_number": "919-424-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 MITCHELL MILL ROAD",
            "address_2": "SUITE 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616",
            "telephone_number": "919-453-0777",
            "fax_number": "919-453-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Diket, PSYD
• Gayle Ackerman Dilalla, MD
• Marcus Dilallo, MD
• Dilkaranjot Grewal DDS, PLLC
• Emily E Dill, ANP-BC
• Kaitlin Brooke Dillard, PT, DPT
• Ellen D Dillavou, MD
• Alexandra M Dilley
• Allisa Shanlyn Dilling, LCMHC-A
• Alexis Nichols Dillon, FNP

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.