Emily Laine Dornblazer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9207 Issued in NC

Practice address

2960 Professional Park Dr
Burlington, NC 27215-9388

Phone

(704) 607-6072

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• DMS of Burlington, LLC

  • General Practice Dentistry
  • Burlington, NC
  • NPI 1316669567
  NPD Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1821381880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 PROFESSIONAL PARK DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159388",
            "telephone_number": "704-607-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 PROFESSIONAL PARK DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159388",
            "telephone_number": "704-607-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBLAZER",
        "first_name": "EMILY",
        "middle_name": "LAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domains of Life Fec, Inc.
• Whitney Domico, CRC, LCMHCA, LCASA
• Lydia Marie Dominic, CNM
• Donald B. Covert, OD
• Cynthia O Donnelly, OD
• Carrie Doss, NP-C
• Lauren Ashley Dougherty
• Danielle Douglas
• Lisa Michelle Dove, RN
• Laurie Miner Downs, RPH

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, 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 Sep 14, 2022; 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.