Mohorn, Belcher & Gollehon, DDS. PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MOHORN, BELCHER & GOLLEHON, DDS. PA

Practice address

2105 Braxton Lane
Suite 102
Greensboro, NC 27408

Phone

(336) 273-1000

Fax

(336) 275-9919

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Brookshire

Title

Group Administrator

Phone

(336) 273-1000

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Piedmont Oral Facial Surg C Former legal business name

Practitioners 1

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

• John W Campbell, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
  • NPI 1366718876
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1801917190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LANE",
            "address_2": "SUITE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-273-1000",
            "fax_number": "336-275-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LANE",
            "address_2": "SUITE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-273-1000",
            "fax_number": "336-275-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHORN, BELCHER & GOLLEHON, DDS. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "BROOKSHIRE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "GROUP ADMINISTRATOR",
        "authorized_official_telephone_number": "336-273-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990160",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998158",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990074",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902GJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Oral Facial Surg C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Montaser Ahmed Mohammed Dafalla, RPH
• Shahid Ahmed Mohammed, MD
• Riann Mohar
• Dorina Louise Mohite, LP
• Mohorn & Associates DDS PLLC (Mohorn Oral Surgery & Implant Center)
• David Jason Mohorn, DDS
• Harold W Mohorn, DDS, MS
• Steven G Mohorn, DDS, MS
• Tyler Matthias Mohr, PA-C
• Kimberly Moles

• Oral and Maxillofacial Surgery (Dentist) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.